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Third International Chronic Prostatitis Network

Symptom improvement and TRUS-documented reduction of prostate size after repetitive prostatic massage and antimicrobial therapy

B.R. Hennenfent,1 B.S. Garcia,2 A.E. Feliciano, Jr.,2
1 Prostatitis Foundation, Smithshire, Illinois and 2 Manila Genitourinary Clinic, Manila, Philippines
Introduction
We describe the treatment of urinary symptoms in a 78-year-old man with an enlarged prostate (63 g). The treatment consisted of 10 prostatic massages combined with antibiotics.
Methods
Symptom severity was monitored by the patient, who was asked to assign a global symptom score to his symptoms throughout the treatment period. A 10-point scoring system was used, with 10 representing the most severe symptoms. Prostate volume was measured before and after treatment by transrectal ultrasound (TRUS).
Results
The global symptom score fell from 5 before treatment to <1 at the end of the treatment period. His prostate volume decreased by 52% from 63 g to 30 g.
Conclusion
This case reports suggests that prostatic massage plus antibiotic therapy is effective in decreasing the size of the prostate in BPH, and that TRUS can beused to objectively monitor the change in prostate size.
Keywords
prostate, prostatitis, prostatic hyperplasia, prostatism, benign prostatic hyperplasia, prostatic hypertrophy, prostatic massage, infection, transrectal ultrasound, transurethral resection of the prostate, transurethralprostatectomy

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