Clinical Profile and Management of 200 Patients of Prostatitis Syndrome at a Tertiary Care Hospital in North Kashmir

Abstract

Background: Prostatitis is a common diseases in middle aged men in north Kashmir, causing major morbidity with symptoms such as dysuria, perennial discomfort, low back ache, sexual dysfunction and very often infertility. In this study we prospectively studied 200 cases of prostatitis to analyse the symptomatology, clinical signs and results of expressed prostatic secretions (EPS) and urine to classify the disease.

Objective: To analyse the symptoms, signs and laboratory results of EPS and urine in 200 patients. Methods: A hospital based prospective study of 200 patients of prostatitis was conducted from December 2019 to December 2024 and the results of microscopic and microbiological examination of expressed prostatic secretions and urine were analysed.

Results: A total of 200 male patients studied showed dysuria (32%), perennial discomfort (52%) and increased urinary frequency (21%) as the most common presenting symptoms with duration of more than 6 months in 77% cases. Enlarged firm prostate was observed in 98% cases. Cultures of EPS and urine revealed E. Coli as most common infecting organism and WBC counts in EPS where more than 10 in significant number of patients. Among all types of prostatitis, chronic non-bacterial prostatitis was most prevalent in 43% cases studied.

Conclusion: It was concluded that although reliance on symptoms to differentiate or diagnose prostatitis is appropriate to some extent, analysis of prostatic fluid and fractions of urine and classification of prostatitis offers a valuable insight into the importance, incidence and aetiology of prostatitis.