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Treating Chronic Prostatitis: Antibiotics No, α-Blockers Maybe

Wolfgang Weidner, MD
[+] Article, Author, and Disclosure Information

From University of Giessen, D-35382 Giessen, Germany.

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: Wolfgang Weidner, MD, Department of Urology, University of Giessen, D-35382 Giessen, Germany; e-mail, Wolfgang.Weidner@chiru.med.uni-giessen.de.

Ann Intern Med. 2004;141(8):639-640. doi:10.7326/0003-4819-141-8-200410190-00012
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Prostatitis is a common cause of visits to a physician. The National Institutes of Health (NIH) consensus classification of prostatitis syndromes includes acute bacterial prostatitis (type I), chronic bacterial prostatitis (type II), chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) (type III), and asymptomatic inflammatory prostatitis (type IV) (1). Type III, by far the most common of these syndromes, presents in 2 forms. Type III A is inflammatory, as shown by leukocytes in expressed prostatic secretions, post–prostate massage urine, or semen. Type III B is noninflammatory, and leukocytes are not present in these fluids. The cause of CP/CPPS is not known.

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