Bacterial prostatitis is easy to identify whereas non-bacterial prostatitis
is a diagnostic challenge for urologists .
The National Institutes of Health (NIH) categorizes prostatitis syndrome into four different types: Type 1: acute bacterial prostatitis, Type 2: chronic bacterial prostatitis (CBP), Type 3: chronic non-bacterial prostatitis
or chronic pelvic pain syndrome (CPPS), and Type 4: asymptomatic inflammatory prostatitis (1).
Exclusion criteria included proven prostate cancer, histological findings of non-bacterial prostatitis
, pathological urinary sediment, positive bacterial cultures of urine, consumption of foods rich in soy isoflavanoids, dietary supplements of any kind and medications with possible effects on prostate health.
(22) Moreover, those authors showed a relationship between the severity of varicocele on Doppler ultrasonography and seminal fluid IL-8 levels, which is an indicator of non-bacterial prostatitis
. These findings suggest that the inflammation due to varicocele and/or prostatitis may cause PE.
Lower urinary tract symptoms, pain and quality of life assessment in chronic non-bacterial prostatitis
patients treated with (alpha)-blocking agent doxazosin; Versus placebo.
This was followed by 6 months of severe non-bacterial prostatitis
. That settled, but reappeared repeatedly in the past few years as increasing urinary difficulty developed again.
A Japanese version of the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI, Okayama version) and the clinical evaluation of cernitin pollen extract for chronic non-bacterial prostatitis
. Nihon Hinyokika Gakkai Zasshi.