121. Nursing Spectrum- Career Fitness Online Silent Suffering in Men — Detecting prostatitis Carol Jo Wilson,RN, PhD, APN, CFNP Gail DeLuca, RN, MS, APN, FNP. The goal of http://nsweb.nursingspectrum.com/ce/ce309.htm

Carol Jo Wilson, RN, PhD, APN, CFNP Gail DeLuca, RN, MS, APN, FNP Describe the major differences among acute bacterial prostatitis (ABP), chronic bacterial prostatitis (CBP), nonbacterial prostatitis (NBP)/chronic pelvic pain syndrome (CPPS), and asymptomatic inflammatory prostatitis. Understand how to use findings of the Stamey-Meares four-glass localization test to differentiate among urethritis, cystitis, and bacterial and nonbacterial prostatitis. Identify nursing care measures for patients with prostatitis. These events may seem unrelated to a layperson, but a knowledgeable nurse realizes that they may reflect genitourinary (GU) symptoms involving the prostate. Prostatitis is the inflammation of the prostate gland. Sometimes, infection is present as well. The symptoms may be absent, mild, or severe and life-threatening. The constellation of symptoms associated with this poorly understood condition can be straightforward or obscure, perplexing both providers and patients. The disease is so prevalent that at some time during their lives, 5% to 9% of men will have prostatitis with the risk of repeated attacks.

122. HealthWorld Online - Herbal Medicine - Teecino. prostatitis. © David L. Hoffmann B.Sc. (Hons), MNIMH. Infectionof the Prostate Gland. A number of symptoms are found including http://www.healthy.net/library/books/hoffman/immune/prostatitis.htm

123. Prostatitis prostatitis. What is prostatitis? The prostate is a gland prostatitisis an inflammation of the prostate gland. Men who have to have http://www.irishhealth.com/?level=4&con=127

124. Prostatitis TheRubins.com. prostatitis. Introduction prostatitis, according toThe Merck Manual is defined as an acute infection of the prostate http://www.therubins.com/illness/Prostatit.htm

Prostatitis Introduction Prostatitis, according to The Merck Manual is defined as "an acute infection of the prostate gland characterized by chills, high fever, urinary frequency and urgency, perineal and low back pain, varying degrees of symptoms of obstruction to voiding, dysuria or burning urination, nocturia, sometimes gross hematuria, and often arthralgia and myalgia." Prostatitis is considered one of the most common outpatient diagnoses in an urologist's practice. A reading of the literature on this subject suggests that there was some controversy as to the definition and relevant classification system for the various forms of prostatitis. A uniformly accepted classification system leads to appropriate evaluation strategies and treatment guidelines. The National Institute of Health within which is the National Institute of Diabetic and Digestive and Kidney Disease (NIH-NIDDK) attempted to correct this issue by convening a symposium of experts to develop guidelines for the diagnosis and classification along with treatment guidelines. The North American and International urology community has now accepted the results of the classification system and has started using it in clinical practice. The NIH system makes a few changes to the previous system and adds a new classification (category IV). It defines four categories of the disorder in which patients may fall. Category I is similar to acute prostatitis, category II is similar to chronic bacterial prostatitis, category III is similar to chronic nonbacterial prostatitis and prostatodynuria, category IV includes those patients with asymptomatic inflammatory prostatitis (AIP). Category III is further divided into two subclasses: category IIIA or inflammatory chronic prostatitis/chronic pelvic pain syndrome indicated by a significant number of leucocytes in the prostate specific specimen; category IIIB or non inflammatory chronic prostatitis/chronic pelvic pain syndrome in which there are no significant leucocytes in the prostate specific specimen.

125. Prostatitis - Effect On PSA prostatitis Effect on PSA. prostatitis, Studies and Papers. For additionalinformation on prostatitis go tom Protatitis Organization. http://prostate-help.org/capropsa.htm

Prostatitis - Effect on PSA Prostatitis, Studies and Papers Overview Summary Statement Prostatitis, Studies and Papers For additional information on Prostatitis go to:m Protatitis Organization Here is a study that show how prevalent prostatitis is in men! Prostatitis Screening Reduces Unnecessary Biopsies in Men With Elevated PSA WESTPORT, CT (Reuters Health) Oct 31 - Nearly half of all asymptomatic men with an elevated prostate specific antigen (PSA) level have laboratory signs of prostatitis. Screening for prostatitis in this population is "safe and effective, and may decrease the number of potentially unnecessary biopsies," Dr. Jeannette M. Potts, of the Cleveland Clinic Foundation, in Ohio, suggests in the November issue of the Journal of Urology. This is the first prevalence study of the National Institutes of Health category IV prostatitis in asymptomatic in men with an elevated PSA level, according to Dr. Potts. Her team initiated a screening protocol for prostatitis that consisted of two tests: expressed prostatic secretion and post-prostate massage urine, also known as the voiding bottle 3, or VB3 test. Screening was performed for 122 men with PSA of 4.1 ng/mL to 29 ng/mL and no evidence of acute urinary tract infection. Forty-two percent of the men had positive laboratory results for prostatitis, although most had negative VB3 cultures. These men received antibiotics for 4 weeks followed by reassessment, while men with negative laboratory tests underwent biopsy. After treatment, 22 of the 51 men with signs of prostatitis had normalized PSA levels, while the PSA remained elevated in 29. Of these 29 men, follow-up biopsy revealed cancer in 9 patients.

126. BPH And PROSTATITIS prostatitis. Symptoms ejaculation. Types and treatments The lesscommon typeof prostatitis is caused by an infection that can be treated with drugs. http://www.hypertext.org/ENGLISH/BPH.html

THE HYPERTEXT GUIDE TO PROSTATE CANCER OTHER PROSTATE PROBLEMS BPH TREATING BPH PROSTATITIS BENIGN PROSTATIC HYPERPLASIA (BPH) Journal of Urology 1984; 132: 474-479 This condition is also known as benign prostatic hypertrophy. Benign means "noncancerous," prostatic means "of the prostate," and hyperplasia means "a greater number of cells than normal." SYMPTOMS The symptoms of BPH resemble the earliest symptoms of prostate cancer. For the most part, they are problems with urination, such as a weak stream, urgency, frequency, or the inability to urinate. Questions the doctor will ask (AUA symptom index for BPH) Cancer and BPH are not the only things that can cause urinary difficulties. An inflammation of the prostate gland or prostatitis (see below) may be relieved with antibiotics, hot baths, (and sometimes with more frequent ejaculation). Eating habits may be part of the problem: avoid alcohol, caffine, spicy foods, and other things that may irritate the bladder. Medications that contain decongestants may also heighten the symptoms. BPH: a brief introduction BPH: a more detailed introduction BPH: a very detailed introduction BPH news TESTS If the doctor cannot relieve the problem with medication, one or more tests may be required, among them: rectal ultrasound, urinalysis, PSA, free PSA, biopsy, intravenous pyelogram, urine flow, and cytoscopy.

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