Nonbacterial Prostatitis Differential Diagnoses

  • Author: Sunil K Ahuja, MD; Chief Editor: Edward David Kim, MD, FACS   more...
 
Updated: Dec 7, 2011
 
 

Diagnostic Considerations

Carcinoma in situ of the bladder can present with irritative urinary symptoms and should be excluded as a cause of irritative voiding symptoms. Failure to consider this possibility is a serious pitfall because bladder cancer can be cured if diagnosed in the early stages; a delay in diagnosis can result in the development of metastatic disease.

Other conditions to consider are pelvic floor tension myalgia, dysfunctional voiding, and benign prostatic hyperplasia

Go to the overview topic Prostatitis for complete information on this subject.

Differential Diagnoses

Proceed to Workup
 
 
Contributor Information and Disclosures
Author

Sunil K Ahuja, MD  Department of Urology, Kaiser Permanente San Jose Medical Center

Sunil K Ahuja, MD is a member of the following medical societies: American Urological Association

Disclosure: Nothing to disclose.

Chief Editor

Edward David Kim, MD, FACS  Professor of Surgery, Division of Urology, University of Tennessee Graduate School of Medicine; Consulting Staff, University of Tennessee Medical Center

Edward David Kim, MD, FACS is a member of the following medical societies: American College of Surgeons, American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, Sexual Medicine Society of North America, and Tennessee Medical Association

Disclosure: Lilly Consulting fee Advisor; Astellas Consulting fee Speaking and teaching; Watson Consulting fee Speaking and teaching; Allergan Consulting fee Speaking and teaching

Additional Contributors

Peter Langenstroer, MD Associate Professor, Department of Urology, Medical College of Wisconsin

Peter Langenstroer, MD is a member of the following medical societies: American Urological Association

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

References

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  15. Nickel JC, Sorensen R. Transurethral microwave thermotherapy for nonbacterial prostatitis: a randomized double-blind sham controlled study using new prostatitis specific assessment questionnaires. J Urol. Jun 1996;155(6):1950-4; discussion 1954-5. [Medline].

  16. Bassotti G, Whitehead WE. Biofeedback, relaxation training, and cognitive behaviour modification as treatments for lower functional gastrointestinal disorders. QJM. Aug 1997;90(8):545-50. [Medline].

  17. Kaplan SA, Santarosa RP, D'Alisera PM, Fay BJ, Ikeguchi EF, Hendricks J, et al. Pseudodyssynergia (contraction of the external sphincter during voiding) misdiagnosed as chronic nonbacterial prostatitis and the role of biofeedback as a therapeutic option. J Urol. Jun 1997;157(6):2234-7. [Medline].

  18. Chen R, Nickel JC. Acupuncture ameliorates symptoms in men with chronic prostatitis/chronic pelvic pain syndrome. Urology. Jun 2003;61(6):1156-9; discussion 1159. [Medline].

  19. Anderson RU, Wise D, Sawyer T, Chan C. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. J Urol. Jul 2005;174(1):155-60. [Medline].

 
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Nonbacterial prostatitis. National Institutes of Health Chronic Prostatitis Symptom Index.
Nonbacterial prostatitis. Comparison of new and old prostatitis classifications.
Treatment algorithm for nonbacterial prostatitis.
 
 
 
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