Chronic prostatitis:diagnosis,treatment and curative effect of 600 patients

Objective To study several critical problems in the diagnosis and treatment of chronic prostatitis. Methods Based on National Institute Health (NIH) classification,600 cases of chronic prostatitis were surveyed on laboratory test and clinical history.In addition,chronic prostatitis symptom index (CPSI) of each patient was evaluated.The antimicrobials such as quinolone were administered for 4 to 8 weeks,and the alpha blockade,anti-inflammatories,thermotherapy and prostatic massage were given to part of the patients. Results According to NIH,80 cases were classified to be type Ⅱ,335 were type ⅢA and 185 were type ⅢB.From the results of CPSI pre and post 6 weeks treament,the curative effect was significant.The cure rate was 23%(138 cases),the symptom of 372 patients (62%) were improved significantly,whose CPSI decreased more than 15,and only 60 patients (10%) felt a little better,whose CPSI decreased from 5 to 15. Conclusions PPMT is a reliable method to diagnose prostatitis,and easy to carry out.NIH-CPSI may play an important role in evaluating the curative effect.The triple drugs,including quinolone,Alpha blockade and anti-inflammatories,will be an effective therapy for chronic prostatitis.