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inflammation of the prostate gland characterized by perineal pain and irregular urination and (if severe) chills and fever

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前立腺炎

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/08/11 11:48:52」(JST)

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Prostatitis is inflammation of the prostate gland. Prostatitis is classified into acute, chronic, asymptomatic inflammatory prostatitis, and chronic pelvic pain syndrome.

In the United States, prostatitis is diagnosed in 8 percent of all urologist visits and 1 percent of all primary care physician visits.^[1]

Classification[edit source | edit]

The term prostatitis refers, in its strictest sense, to histological (microscopic) inflammation of the tissue of the prostate gland. Like all forms of inflammation, it can be associated with an appropriate response of the body to an infection, but it also occurs in the absence of infection.

In 1999, the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) devised a new classification system.^[2]^[3] For more specifics about each type of prostatitis, including information on symptoms, treatment, and prognosis, follow the links to the relevant full articles.

Category	Pain?	Bacteria?	WBCs?	NIDDK (Current)	Description	Meares/Stamey (Old)
I	yes	yes	yes	Acute prostatitis	Acute prostatitis is a bacterial infection of the prostate gland that requires urgent medical treatment.	Acute bacterial prostatitis
II	±	yes	yes	Chronic bacterial prostatitis	Chronic bacterial prostatitis is a relatively rare condition that usually presents as intermittent urinary tract infections.	Chronic bacterial prostatitis
IIIa	yes	no	yes	Inflammatory CP/CPPS	Chronic prostatitis/chronic pelvic pain syndrome, accounting for 90%-95% of prostatitis diagnoses,^[4] used to be known as chronic nonbacterial prostatitis.	Nonbacterial prostatitis
IIIb	yes	no	no	Noninflammatory CP/CPPS		Prostatodynia
IV	no	no	yes	Asymptomatic inflammatory prostatitis	Asymptomatic inflammatory prostatitis patients have no history of genitourinary pain complaints, but leukocytosis is noted, usually during evaluation for other conditions. Between 6-19% of men have pus cells in their semen but no symptoms.^[5]	(none)

In 1968, Meares and Stamey determined a classification technique based upon the culturing of bacteria.^[6] This classification is no longer used.

The conditions are distinguished by the different presentation of pain, white blood cells (WBCs) in the urine, duration of symptoms and bacteria cultured from the urine. To help express prostatic secretions that may contain WBCs and bacteria, prostate massage is sometimes used.^[7]

References[edit source | edit]

^ Collins MM, Stafford RS, O'Leary MP, Barry MJ (1998). "How common is prostatitis? A national survey of physician visits". J. Urol. 159 (4): 1224–8. doi:10.1016/S0022-5347(01)63564-X. PMID 9507840.
^ Krieger JN, Nyberg L, Nickel JC (July 1999). "NIH consensus definition and classification of prostatitis". JAMA 282 (3): 236–7. doi:10.1001/jama.282.3.236. PMID 10422990.
^ J. Curtis Nickel (1999). Textbook of prostatitis. Taylor & Francis. pp. 27–. ISBN 978-1-901865-04-2. Retrieved 18 April 2010.
^ Habermacher GM, Chason JT, Schaeffer AJ (2006). "Prostatitis/chronic pelvic pain syndrome". Annu. Rev. Med. 57: 195–206. doi:10.1146/annurev.med.57.011205.135654. PMID 16409145.
^ Korrovits P, Ausmees K, Mändar R, Punab M (June 2008). "Prevalence of asymptomatic inflammatory (National Institutes of Health Category IV) prostatitis in young men according to semen analysis". Urology 71 (6): 1010–5. doi:10.1016/j.urology.2007.12.082. PMID 18455767.
^ Meares EM, Stamey TA (March 1968). "Bacteriologic localization patterns in bacterial prostatitis and urethritis". Invest Urol 5 (5): 492–518. PMID 4870505.
^ "Prostatitis: Benign Prostate Disease: Merck Manual Professional". Retrieved 2011-07-11.

External links[edit source | edit]

Prostatitis at the Open Directory Project

UpToDate Contents

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1. 急性細菌性前立腺炎 acute bacterial prostatitis
2. 慢性細菌性前立腺炎 chronic bacterial prostatitis
3. 慢性前立腺炎/慢性骨盤痛症候群 chronic prostatitis chronic pelvic pain syndrome
4. クラミジア・トラコマティス感染症の臨床症状および診断 clinical manifestations and diagnosis of chlamydia trachomatis infections
5. 男性の性交時痛 male dyspareunia

English Journal

Validation of the German version of the 'Hypogonadism Related Symptom Scale' (HRS) in andrological patients with infertility, HIV infection and metabolic syndrome.

Alidjanov J1, Wolf J, Schuppe HC, Weidner W, Diemer T, Linn T, Halefeldt I, Wagenlehner F, Wiltink J, Pilatz A.
Andrologia.Andrologia.2014 Dec;46(10):1189-97. doi: 10.1111/and.12215. Epub 2014 Jan 6.
As commonly used self-reported screening instruments for male hypogonadism demonstrated lack of specificity, a Hypogonadism Related Symptom Scale (HRS) was developed in 2009 as a novel self-rating screening tool. As the questionnaire has not been validated, the purpose of our study was to perform a
PMID 24387031

Relationship of semen hyperviscosity with IL-6, TNF-α, IL-10 and ROS production in seminal plasma of infertile patients with prostatitis and prostato-vesiculitis.

Castiglione R1, Salemi M, Vicari LO, Vicari E.
Andrologia.Andrologia.2014 Dec;46(10):1148-55. doi: 10.1111/and.12207. Epub 2013 Dec 16.
Changes in levels of oxidative damage products in semen and their relationship to seminal fluid viscosity (SFV) have recently received increasing research interest. We analysed whether SFV was associated with ROS generation, levels of cytokines TNF-alpha (TNF-α), IL-6 and IL-10 and seminal leucocyt
PMID 24329571

Urological chronic pelvic pain syndrome symptom flares: characterisation of the full range of flares at two sites in the Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Research Network.

Sutcliffe S1, Colditz GA, Goodman MS, Pakpahan R, Vetter J, Ness TJ, Andriole GL, Lai HH.
BJU international.BJU Int.2014 Dec;114(6):916-25. doi: 10.1111/bju.12778. Epub 2014 Aug 11.
OBJECTIVES: To describe the full range of symptom exacerbations defined by people with interstitial cystitis/bladder pain syndrome and chronic prostatitis/chronic pelvic pain syndrome as 'flares', and to investigate their associated healthcare utilization and bother at two sites of the Multidiscipli
PMID 24730356

Japanese Journal

急性腎盂腎炎,腎膿瘍,前立腺炎,前立腺膿瘍 (特集泌尿器科救急の実際) -- (感染症)

庄武彦,松本哲朗
救急医学 = The Japanese journal of acute medicine 36(13), 1772-1779, 2012-12
NAID 40019528082

敗血症,感染性心内膜炎,化膿性脊椎炎を合併した前立腺膿瘍の1例

松本穣,重村克巳,山道深 [他]
泌尿器科紀要 = Acta urologica Japonica 58(10), 565-568, 2012-10
… He was diagnosed with acute prostatitis and immediately admitted to our hospital. …
NAID 40019492194

慢性前立腺炎/慢性骨盤痛症候群と排尿機能・性機能との関連 (特集古くて新しい前立腺炎の臨床)

吉村耕治
臨床泌尿器科 66(11), 871-876, 2012-10
NAID 40019457068

Related Pictures

★リンクテーブル★

リンク元	「前立腺炎」「acute bacterial prostatitis」
拡張検索	「chronic bacterial prostatitis」「asymptomatic inflammatory prostatitis」

「前立腺炎」

Prostatitis
	Classification and external resources
	; Micrograph showing an inflamed prostate gland, the histologic correlate of prostatitis. A normal non-inflamed prostatic gland is seen on the left of the image. H&E stain.
ICD-10	N41
ICD-9	601
DiseasesDB	10801
MedlinePlus	000524
eMedicine	emerg/488
MeSH	D011472

　　[★]

英: prostatitis
関: 前立腺

分類

急性前立腺炎 acute prostatitis　(NIH分類)カテゴリーI
慢性細菌性前立腺炎 chronic bacterial prostatitis　(NIH分類)カテゴリーII
慢性非細菌性前立腺炎 chronic nonbacterial prostatitis　(NIH分類)カテゴリーIIIA

最も多い

前立腺痛 prostatodynia　(NIH分類)カテゴリーIIIB

前立腺炎のためのNIH分類

型	分類		症状
I	急性細菌性前立腺炎		発熱、排尿痛、全身倦怠で急激に発症
II	慢性細菌性前立腺炎		Iが慢性化したもの。再発性細菌感染としての症状を認める。
III	慢性非細菌性前立腺炎		頻尿・残尿感、排尿時痛（不快感）、ソケイ部・会陰部・尿道部痛など多彩。
	慢性骨盤内疼痛症候群/前立腺関連疼痛症候群
		A 炎症性
		B 非炎症性
IV	無症候性炎症性前立腺炎		たまたま採取した前立腺液中に白血球を認めて発見されるなど、偶然発見されることがあるが、現時点では積極的に治療の必要はない。

「acute bacterial prostatitis」

　　[★] 急性細菌性前立腺炎

(病名)急性細菌性前立腺炎

関: chronic bacterial prostatitis、prostatitis

「chronic bacterial prostatitis」

　　[★] 慢性細菌性前立腺炎

(病名)慢性細菌性前立腺炎

関: acute bacterial prostatitis、prostatitis

「asymptomatic inflammatory prostatitis」

　　[★] 無症候性炎症性前立腺炎

[pmid9507840-1] Collins MM, Stafford RS, O'Leary MP, Barry MJ (1998). "How common is prostatitis? A national survey of physician visits". J. Urol. 159 (4): 1224–8. doi:10.1016/S0022-5347(01)63564-X. PMID 9507840.

[pmid10422990-2] Krieger JN, Nyberg L, Nickel JC (July 1999). "NIH consensus definition and classification of prostatitis". JAMA 282 (3): 236–7. doi:10.1001/jama.282.3.236. PMID 10422990.

[Nickel1999-3] J. Curtis Nickel (1999). Textbook of prostatitis. Taylor & Francis. pp. 27–. ISBN 978-1-901865-04-2. Retrieved 18 April 2010.

[pmid16409145-4] Habermacher GM, Chason JT, Schaeffer AJ (2006). "Prostatitis/chronic pelvic pain syndrome". Annu. Rev. Med. 57: 195–206. doi:10.1146/annurev.med.57.011205.135654. PMID 16409145.

[pmid18455767-5] Korrovits P, Ausmees K, Mändar R, Punab M (June 2008). "Prevalence of asymptomatic inflammatory (National Institutes of Health Category IV) prostatitis in young men according to semen analysis". Urology 71 (6): 1010–5. doi:10.1016/j.urology.2007.12.082. PMID 18455767.

[pmid4870505-6] Meares EM, Stamey TA (March 1968). "Bacteriologic localization patterns in bacterial prostatitis and urethritis". Invest Urol 5 (5): 492–518. PMID 4870505.

[urlProstatitis:_Benign_Prostate_Disease:_Merck_Manual_Professional-7] "Prostatitis: Benign Prostate Disease: Merck Manual Professional". Retrieved 2011-07-11.

匿名

検索

案内

案内

prostatitis