Classification of types of Prostatitis.. have a huge flaw in applying their classification, as when a pathogen cannot be isolated, medical science classifies that patient as having non/a-bacterial Prostatitis or CPPS. In fact, being unable to culture a pathogen means nothing more than just that.. and in our long experience, the vast majority of Chronic Prostatitis patients' conditions are caused by pathogen(s) their Doctor has simply been unable to isolate.
Classification by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) in 1999
|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, used to be known as chronic nonbacterial prostatitis.||Nonbacterial prostatitis|
|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.||(none)|
The fact that the determination of the existence of pathogens is such a hit and miss affair makes the classification rather meaningless.
- There is generally a rather short window of opportunity by a Doctor to obtain samples from a patient which can be cultured (urine or EPS). For various reasons (sometimes caused by the patient, sometimes by the Doctor or a combination), this window passes and the pathogen(s) involved become well-established and very difficult to culture. Added to this are often short laboratory culture times (24hrs max.) and an unusual reluctance by Doctors to order a semen test. Take note, that if you've had one or more EPS tests done with no result, your Doctor should consider a semen test mandatory.
- Urine test: It is very common for a urine test to be negative.. this means only one thing.. nothing cultured, it does not and cannot mean that there are no pathogens with a diagnosis of abacterial prostatitis
- EPS test: often difficult and sometimes very painful depending on the state of the prostate and the ability of the Doctor. Repeated EPS results can alternate between negative and positive results
- Semen test: A number of our patients report that a semen test was the positive test breakthrough, after numerous urine and EPS tests over a long period of time
Have a read of this article which encapsulates our feelings on the inadvisability of a medical pronouncement of abacterial/CCPS prostatitis by a Doctor as a result of urine and the odd EPS tests.
As always, let me know what your experience is concerning this article, YOUR experience will help our readers, use the contact form on the right menu..
http://www.prostatitis.org/urineculture.html accessed 03 May 2013
http://www.prostatitis.org/stameymeares.html accessed 20 May 2013
http://www.aafp.org/afp/2010/0815/p397.html accessed 10 Jan 2014
http://www.medscape.com/viewarticle/412693_3 accessed 25 Jun 2014
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3202001/ accessed 08 Aug 2014