[Diagnosis and treatment of non-specific granulomatous prostatitis: a report of 32 cases].
Zhonghua Nan Ke Xue
; 14(2): 131-4, 2008 Feb.
Article
em Zh
| MEDLINE
| ID: mdl-18390177
ABSTRACT
OBJECTIVE:
To discuss the diagnosis and treatment of non-specific granulomatous prostatitis (NSGP).METHODS:
Thirty-two cases of NSGP were diagnosed by puncture biopsy under transrectal ultrasound (TRUS) and treated with antibiotics and other medicines from September, 2000 to May, 2006.RESULTS:
Pathomorphologically, NSGP was basically characterized by granuloma with vessels or grand alveoli in the center. The mean follow-up was 24 months. Urination irritation and obstruction were improved. Q(max) was increased to 15.0-24.0 ml/s, and in 3 cases of urinary retention, to 12.0, 14.5 and 16.5 ml/s, respectively. Digital rectal examination (DRE) indicated a reduced size and softened texture of the prostate induration. PSA was decreased to 1.3-11.5 microg/L. Four cases experienced relapse but were cured after retreated. No prostate cancer was observed.CONCLUSION:
NSGP can be definitely diagnosed by puncture biopsy under TRUS and effectively relieved by antibiotics with the alpha-receptor blocker. In case of serious obstruction complicated by urinary retention, transurethral electrotomy can be considered.
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Base de dados:
MEDLINE
Assunto principal:
Prostatite
/
Granuloma
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Humans
/
Male
/
Middle aged
Idioma:
Zh
Ano de publicação:
2008
Tipo de documento:
Article