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The Role of Transurethral Prostatectomy in Chronic Prostatitis
Author(s) -
SMART C. J.,
JENKINS J. D.
Publication year - 1973
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1973.tb12236.x
Subject(s) - prostatitis , medicine , prostate , hyperplasia , urology , prostatectomy , asymptomatic , open prostatectomy , cancer
Summary 32 adult males with symptoms and signs of chronic prostatitis have been treated by transurethral prostatectomy. Preoperative localisation studies have failed to reveal any worthwhile correlation between the pus cell count of the prostatic secretions and the histological changes within the prostate. No viruses were isolated. The incidence of the pathogenic bacteria in the prostatic secretion and the prostatic tissue was increased with the severity of the histological changes. Psychological assessment by questionnaire showed no greater neurotic tendency in the patient with chronic prostatitis than controls. The serological autoimmune profiles of the patients with chronic prostatitis were very similar to those of patients from a putative autoimmune population and significantly different from controls, suggesting a possible autoimmune basis for the disease. There was no mortality, no significant morbidity and within 3 months of the operation 72% of the patients were asymptomatic and 19 % improved. These results compare favourably with the results of transurethral prostatectomy for benign enlargement of the prostate. The difficulty of resecting all the inflammatory tissue from a prostate in the absence of benign hyperplasia is stressed and the value of 2 or 3 resections is emphasised.