무증상전립선염의 임상적 의미와 치료

• Published in: Urogenital tract infection pp. 13 - 19
• Main Authors: 조인창, 민승기
• Format: Journal Article
• Language: Korean
• Published: 대한요로생식기감염학회 01.04.2013
• Subjects: 비뇨기과학
• ISSN: 2465-8243; 2465-8510

Asymptomatic inflammatory prostatitis (National Institutes of Health, category IV) has been introduced as a separate clinical entity among other prostatitis syndromes. Asymptomatic inflammatory prostatitis is characterized by the presence of significant amount of leukocytes (white blood cells) in prostate-specific samples (post-prostatic massage urine, expressed prostatic secretion, semen, and prostate biopsy) but no subjective symptoms are found, and is therefore diagnosed solely in the laboratory. There have been many questions regarding the clinical role of asymptomatic inflammatory prostatitis and its impact on the management of prostate disease and sterility. This review presents the current definition of asymptomatic inflammatory prostatitis, summarizes the clinical evidence on the two important issues prostate specific antigen and pyospermia, and discusses the optimal approaches to reduce its confounding impact on prostate cancer screening and indiscriminate use of antibiotics. KCI Citation Count: 1