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Diagnosing and Treating Chronic Prostatitis: Do Urologists Use the Four-Glass Test? |
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| M McNaughton-Collins; MJ Barry; FJ Fowler Jr.; DB Elliott; Boston, MA; PC Albertsen; Farmington, CT (Presented by Dr. McNaughton-Collins). | ||
| Introduction and Objectives: | ||
| To examine the diagnosis and treatment of chronic prostatitis in 1998 we conducted a national survey of urologists who were practicing medicine at least 20 hrs/wk. | ||
| Methods: | ||
| Stratified random samples were drawn from the American Medical Association Registry of Physicians. | ||
| Results: | ||
| 504 urologists responded (response rate = 64%). Urologists reported seeing a mean of 50.6 (SE=2.9) patients newly diagnosed with chronic prostatitis in the past 12 months. | ||
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| In the past 12 months , when evaluating a patient with prostatitis, how often did you perform the Meares-Stamey four-glass test? | ||||||
| Almost Always | More than half the time | About half the time | Less than half the time | Rarely | Never | |
| 4% | 3% | 4% | 9% | 33% | 47% | |
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| How many of your chronic prostatitis patients did you treat with: | ||||||
| All | More than half | About half | Less than half | Very few | None | |
| Antibiotics | 40% | 42% | 9% | 4% | 4% | 1% |
| Alpha Blockers | 2% | 21% | 19% | 32% | 19% | 7% |
| Natural remedies | 1% | 4% | 6% | 14% | 34% | 41% |
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| Physician who often performed the 4-glass test did not differ in their antibiotic use from those who used it less often; however, they were more likely to use treatments other than antibiotics. Alpha blockers were used in half the patients or more by only 35% of physicians who never do the 4-glass test, compared with 42% who rarely do the test and 57% who do the test more often (P=0.002). Results were similar for treatment with natural remedies. | ||||||
| Conclusions: | ||||||
| Urologists are making the diagnosis of chronic prostatitis frequently, but are rarely doing the time-honored 4-glass test. Although bacterial prostatitis is reportedly uncommon, antibiotic use is not. | ||||||
| Source: 1999 AUA Meeting | ||||||
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| This information is forwarded to you by the Prostatitis Foundation. We do not provide medical advice. We distribute literature and information relevant to prostatitis. While we encourage all research we do not endorse any doctor, medicine or treatment protocol. Consult with your own physician. | ||||||
| © 2002 The Prostatitis Foundation | ||||||
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