Vol.68 No.1 January 2020
Diagnosis and treatment of male genital infection
1)Department of Urology, Kyowakai Medical Corporation, Kyoritsu Hospital, 16-5 Chuo, Kawanishi, Hyogo, Japan
2)Department of Urology and Kidney Transplant Center, Hyogo College of Medicine
Abstract
Prostatitis syndrome and epididymitis are male genital infections that are frequently encountered in outpatient practice.
Prostatitis syndrome is a common disease among male inflammatory diseases and has been classified into four categories by the National Institutes of Health. Although acute bacterial prostatitis is often not difficult to diagnose or treat, the possibility of a prostate abscess, which can be serious, developing as a complication must be borne in mind. The symptoms of chronic prostatitis/chronic pelvic pain syndrome are diverse and treatment could be is often difficult, with monotherapy generally proving to be ineffective. In view of the complicated clinical condition, multimodal therapy has recently been attempted with stratification of the patients based on the symptoms and individualized treatment.
The diagnosis of acute epididymitis is generally easy, because of the specific local symptoms. However, in children and adolescents, it is necessary to first exclude spermatic torsion. Also, the most frequent causative organisms differ according to age, the antimicrobial agents must be selected according to the causative bacteria. In patients not responding to the usual antibacterial treatment, the possibility of Mycobacterium tuberculosis should be kept in mind. For patients with chronic epididymitis, palliative treatment for pain is the primary therapy.
Received
February 25, 2019
Accepted
November 5, 2019
Jpn. J. Chemother. 68 (1): 143-154, 2020
