Extensive description of CPPS

[benzo]

http://www.emedicine.com/med/topic1922.htm

Not sure what to think of it though...

[webslave]

A mixture of good and bad, and a little behind the times .... but better than most.

[benzo]

I find following passages questionable:

"This process can sometimes turn on itself and lead to rejection of the body's own healthy tissues. In CPPS, the body may be attempting to reject its own prostate."

"These preliminary findings suggest that chronic abacterial prostatitis may, in certain cases, actually be due to an occult, chronic, bacterial infection. Further, persistence of this smoldering infection may lead to the development of prostate cancer."

I thought men with chronic prostatitis / chronic pelvic pain syndrome actually have LOWER frequency of prostate cancer.

"E coli infection is a common cause of acute bacterial prostatitis. However, these bacteria cannot be cultured in patients with chronic abacterial prostatitis. Certain strains of these bacteria may have developed a cloaking defense that allows them to conceal their activity and to resist antibiotic therapy."

"Specialists at Stanford University found that 92% of men with refractory chronic prostatitis / chronic pelvic pain syndrome reported related erectile dysfunction, including problems with decreased libido (66%), pain upon ejaculation (56%), and ejaculatory dysfunction (31%)"

Refers to a study in which David Wise participated http://www.ncbi.nlm.nih.gov/sites/entre ... s=16952676
but it is not clear if they cherry picked the patients as subjects of this study to prove they could improve by having tp release. That, and they confuse libido with erectile function which IMO are different things.

"prostatic bacteria are probably not etiologically involved in the symptoms in most men with CPPS"

Completely contradicts their earlier point on an "occult, chronic, bacterial infection".

[webslave]

That's a result of having two authors and several editors for that article, some with very outdated and marginal views that clash with the views of the others.

And the lead author is not a prostatitis expert.