Research Article: Chronic Prostatitis and Chronic Pelvic Pain Syndrome (CP/CPPS): Epidemiological, Clinical and Therapeutic Profile
Sine B*, Fall B, Sow Y, Bagayogo NA, Thiam A, Ze Ondo C, Sarr A, Barboza D, Zakou ARH, Faye ST, Diao B, Fall PA and Ndoye AK
Aim: To report the epidemiological, clinical and therapeutic aspects of chronic category III prostatitis.
Patients and Methods: This was a retrospective study from January 1, 2011 to December 31, 2015, collating all patient files that were followed for chronic prostatitis / chronic pelvic pain syndrome (CP / CPPS). We focused on the following parameters: Patients' status, history of acute urethritis, psychological disposition, duration of symptoms, prostatorrhea, NIH score (pain, urinary signs, quality of life), other symptoms and associated disorders (Erectile dysfunction, ejaculation disorder, hemospermia, infertility of the couple), the given treatments and their results.
Results: The average age was 42.4 ± 14 years. Chronic prostatitis concerned all age groups of adult men. We found that the married were most affected by chronic prostatitis (54%). Anxiety was noted in 22 patients. Symptom duration ranged from 3 months to 10 years. Urinary problems were the most frequent reasons for consultation; (86%). The pain was reported in more than two-thirds of patients (68%). Other reasons for consultation were prostatorrhea, erectile dysfunction, ejaculation disorders and primary infertility. Suspicious prostatic induration was in 8 patients. The Cyto-Bacteriological Examination of the Urine (CBEU) was negative in all the patients as well as the spermocultures that were realized. Ultrasound of the urinary tract showed prostatic hypertrophy in 12 patients, prostate calcifications in 9 patients and a significant post-voiding residue (100cc) in 13 patients. The antibiotic, anti-inflammatory and alpha-blocking combination was the most common treatment used with our patients (86%). Thirteen (13) patients underwent surgical treatment after no improvement in urinary symptoms after medical treatment. Cure was achieved only in one-third of the patients. However, an improvement in symptoms was observed in half of the patients.
Conclusion: CP/CPPS is an uncommon condition in our practice, difficult to manage, sometimes requiring multidisciplinary care.
Cite this Article: Sine B, Fall B, Sow Y, Bagayogo NA, Thiam A, et al. Chronic Prostatitis and Chronic Pelvic Pain Syndrome (CP/CPPS): Epidemiological, Clinical and Therapeutic Profile. SRL Urol. 2017;1(1): 001-005.
Published: 31 May 2017
Nirmish Singla*, Lakshmi Priya Kunju, Julie Marie Jorns
A 49-year-old asymptomatic man presents for a vasectomy evaluation. His past medical history is noncontributory, and his family history is remarkable for prostate cancer in his father. On genitourinary examination, his left testicle is notably larger than his right testicle, with concern for a firm, nontender upper pole mass palpated on the left side. Scrotal ultrasound is performed and reveals numerous hypoechoic masses within the left testicle (Figure 1) and a normal right testicle. He undergoes left radical orchiectomy, revealing the histologic patterns shown (Figure 2).
Cite this Article: Singla N, Kunju LP, Jorns JM. Testicular size discrepancy in a man evaluated for vasectomy. SRL Urol. 2015;1(1): 008-011.
Published: 31 December 2015
Editorial: Enhanced Recovery after Surgery (ERAS) Protocols after Radical Cystectomy: Existing Barriers and Promising new Developments
Evie Mertens* and Homayoun Zargar
By utilizing evidence based practice enhanced recovery after surgery (ERAS) protocols implement several steps along the care pathway to help minimise the surgical stress response caused from surgical insult. Radical Cystectomy is associated with the highest morbidity of all urological procedures ; with extended length of hospital stay and high complication rates reported post operatively [1-2].
Cite this Article: Mertens E, Zargar H. Enhanced Recovery after Surgery (ERAS) Protocols after Radical Cystectomy: Existing Barriers and Promising new Developments. SRL Urol. 2015;1(1): 006-008.
Published: 31 December 2015
Jiaqiang Chu, Wenjun Ma, Mengjia Gong, Deying Zhang, Gen Xiong, Dawei He, Guanghui Wei* and Yuanyuan Zhang*
As a tubularized organ in the distal portion of the urinary tract, the urethra can often develop strictures due to congenital defects (e.g. hypospadias), injury, and infections. In particular, urethral stricture is a common urological problem in men. Urethral strictures thus present a significant economic impact and burden, because they are relatively frequent and repeated surgical intervention is often needed. The main causes of urethral stricture are trauma to the urethra, gonorrheal infection and idiopathic inflammatory diseases.
Cite this Article: Chu J, Ma W, Gong M, Zhang D, Xiong G, et al. Urine Derived Stem Cells as a Novel Cell Source for Urethral Tissue Regeneration. SRL Urol. 2015;1(1): 003-005.
Published: 15 December 2015
Editorial: A Reflection on Social Media Usage in Healthcare and Urology: An Opportunity for Research
Lauren Folgosa Cooley* and Lance Hampton
Social media is a broad term that encompasses many Internet based sites through which online-users communicate and disseminate information. Social media networks, such as Facebook, Twitter, and YouTube, are redefining the concept of community as online users can now exchange ideas, messages, videos, and other forms of user-content within seconds . Latest statistics from 2015 have shown that nearly 65% of US adults are using social media networking sites, which is a ten-fold increase since 2005 . This trend has been far reaching over the past decade with a wide variety of ages, ethic groups, and socioeconomic classes joining in .
Cite this Article: Cooley LF, Hampton L. A Reflection on Social Media Usage in Healthcare and Urology: An Opportunity for Research. SRL Urol. 2015;1(1): 001-002.
Published: 15 December 2015
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