Ultrasound findings in patients with CPPS

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Ultrasound findings in patients with chronic prostatitis/chronic pelvic pain syndrome
Alvin Wee and Daniel A. Shoskes
Current Prostate Reports Volume 6, Number 4 / November, 2008 145-184

Abstract: Category III prostatitis, also known as chronic pelvic pain syndrome (CPPS), is a common condition of unclear etiology and few validated effective therapies. It is even controversial whether all patients with CPPS have prostatic pathology. Prostatic calcifications/stones are common in older, asymptomatic men but are seen with a high frequency in young men with CPPS. This review examines the current literature on ultrasound findings in men with CPPS and discusses possible implications for etiology and therapy.

Conclusions
Prostatic calcifi cation/calculi are common in patients with CPPS and may be a cause of symptoms through harboring bacteria or directly inducing inflammation. They may also simply be an effect of the disorder. Doppler ultrasound showing high flow is another common finding in patients with this syndrome. Given the lack of objective and prognostic disease markers in CPPS, imaging may be an important tool to eventually help understand the pathophysiology and suggest treatment.

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