Prostatitis diagnostic study of choice: Difference between revisions

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Revision as of 05:24, 29 May 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

There is no gold standard for the diagnosis and evaluation of patients presenting with prostatitis. The evaluation of a patient with acute and chronic bacterial prostatitis consists of history and physical examination and urine culture for lower urinary tract localization cultures, respectively. The evaluation of chronic pelvic pain syndrome includes tests which can be broadly divided into mandatory, recommended and optional.

Diagnostic Study of Choice

Study of choice

There is no gold standard for the diagnosis and evaluation of patients presenting with prostatitis.
The evaluation of a patient with acute and chronic bacterial prostatitis consists of history and physical examination and urine culture for lower urinary tract localization cultures, respectively.
The evaluation of chronic pelvic pain syndrome includes tests which can be broadly divided into mandatory, recommended and optional.

Sequence of Diagnostic Studies in Acute Bacterial Prostatitis

The digital rectal exam (DRE) should be performed when:

The patient presented with fever, local pelvic/perineal pain, irritative and obstructive voiding symptoms, and other generalized symptoms of an acute infection.
The diagnosis of acute bacterial prostatitis is confirmed by microscopic analysis of a midstream urine specimen and confirmed by culturing uropathogenic bacteriuria in a urine specimen.

References

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 * The evaluation of chronic pelvic pain syndrome includes tests which can be broadly divided into mandatory, recommended and optional.
-===== Diagnostic results =====
+===== Sequence of Diagnostic Studies in Acute Bacterial Prostatitis =====
-The following result of [investigation name] is confirmatory of [disease name]:
+The digital rectal exam (DRE) should be performed when:
-* Result 1
+* The patient presented with fever, local pelvic/perineal pain, irritative and obstructive voiding symptoms, and other generalized symptoms of an acute infection.
-* Result 2
+* The diagnosis of acute bacterial prostatitis is confirmed by microscopic analysis of a midstream urine specimen and confirmed by culturing uropathogenic bacteriuria in a urine specimen.
-===== Sequence of Diagnostic Studies =====
-The [name of investigation] should be performed when:
-* The patient presented with symptoms/signs 1, 2, and 3 as the first step of diagnosis.
-* A positive [test] is detected in the patient, to confirm the diagnosis.
-=== Diagnostic Criteria ===
-* Here you should describe the details of the diagnostic criteria.
-*Always mention the name of the criteria/definition you are about to list (e.g. modified Duke criteria for the diagnosis of endocarditis / 3rd universal definition of MI) and cite the primary source of where this criteria/definition is found.
-*Although not necessary, it is recommended that you include the criteria in a table. Make sure you always cite the source of the content and whether the table has been adapted from another source.
-*Be very clear as to the number of criteria (or threshold) that needs to be met out of the total number of criteria.
-*Distinguish criteria based on their nature (e.g. clinical criteria / pathological criteria/ imaging criteria) before discussing them in details.
-*To view an example (endocarditis diagnostic criteria), click [[Endocarditis diagnosis|here]]
-*If relevant, add additional information that might help the reader distinguish various criteria or the evolution of criteria (e.g. original criteria vs. modified criteria).
-*You may also add information about the sensitivity and specificity of the criteria, the pre-test probability, and other figures that may help the reader understand how valuable the criteria are clinically.
-* [Disease name] is mainly diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name].
-* There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...].
-* The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
-* The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
-* [Disease name] may be diagnosed at any time if one or more of the following criteria are met:
-** Criteria 1
-** Criteria 2
-** Criteria 3
-IF there are clear, established diagnostic criteria:
-*The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
-*The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
-*The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
-IF there are no established diagnostic criteria:
-*There are no established criteria for the diagnosis of [disease name].