Pathogenesis of prostatitis/chronic pelvic pain syndrome after gonococcus urethritis
GONG Wei-ming, LU Hai-kong, CHAI Zhe, et al. (Department of STD Institute, Shanghai Skin Disease & STD Hospital, Shanghai 200050, China)
Objective To understand the current situation in the treatment of gonococcal urethritis and the possible pathogenesis of prostatitis and chronic pelvic pain after the treatment. Methods The medication in 70 cases of gonococcal urethritis with symptoms after the treatment was investigated, and germiculture for urethral secretion and routine testing plus germiculture for prostate fluid were conducted. Results Among 70 cases of gonococcal urethritis, 21 were treated with azithromycin, 13 with tetracycline, 12 with ceftriaxone, 10 with third-generation cephalosporins, 7 with spectinomycin and 7 with quinolone drugs. The bacterial cultures for urethral secretion resulted in 6 cases of bacterial growth; 33 cases showed more than 5 white blood cells in the routine testing of prostate fluid; 22 cases had bacterial growth in prostatic germiculture and they were Neisseria gonorrhoeae, lactic acid bacteria, large intestinal bacillus, Staphylococcus aureus, Staphylococcus epidermidis, trichomoniasis, Proteus, alpha Streptococcus, Corynebacterium and Ureaplasma urealyticum, respectively . Conclusion Non-standard treatment of gonococcal urethritis may serve as one of the most important cause of prostatitis and chronic pelvic pain syndrome after the treatment of gonococcal urethritis.
【CateGory Index】： R697.3;R759.2