A microbiologic evaluation of patients with chronic prostatitis and relation with clinical symptoms

Abstract

In this study urine and prostatic secretion samples of patients with chronic prostatitis were investigated for various prostatitis pathogens and the correlation between clinical symptoms. A total of 60 patients with chronic prostatitis were examined, prostatic secretion and urine specimens were evaluated under direct microscopy after staining with Giemsa and Gram. The selective media were used to investigate the presence of bacterial pathogens, Mycoplasma hominis and Ureaplasma urealyticum. Based on the laboratory findings of patients, 11(18.3%) were found to have chronic bacterial prostatitis, 49 (81.7%) were found to have chronic pelvic pain syndrome. Organisms isolated in patients with chronic bacterial prostatitis includedEscherichia coli in four cases, Staphylococcus aureus in two cases andPseudomonas aeruginosa, Klebsiella pneumoniae, coagulase-negative staphylococci, Enterococcus faecalis and diphtheroids in one case each. Of the 49 patients with chronic pelvic pain syndrome, U. urealyticum was isolated in seven and M. hominis in one of the patients. Premature ejaculation was more frequently detected in the patient group with chronic bacterial prostatitis than the patient group with chronic pelvic pain syndrome. Analysis of etiology of chronic prostatitis in our patients showed that U. urealyticum and E. coli were common pathogens of chronic prostatitis. We concluded that chronic bacterial prostatitis may increase the risk of premature ejaculation. Key words: Chronic prostatitis, etiology, Ureaplasm urealyticum, Mycoplasma hominis, premature ejaculation.