Antibiotic Madness continues ..

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webslave
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Antibiotic Madness continues ..

Post by webslave »

Int J Urol. 2003 Dec;10(12):636-642.

Questionnaire survey of Japanese urologists concerning the diagnosis
and treatment of chronic prostatitis and chronic pelvic pain syndrome.


Kiyota H, Onodera S, Ohishi Y, Tsukamoto T, Matsumoto T.
Department of Urology, Jikei University, Tokyo, Sapporo Medical
University, Sapporo and University of Occupational and Environmental
Health, Kitakyushu, Japan.


OBJECTIVES: We performed a questionnaire survey to investigate various issues in the diagnosis and treatment of chronic prostatitis/chronic pelvic pain syndrome by Japanese urologists and to clarify the circumstances surrounding prostatitis in Japan.

METHODS: Japanese urologists (n = 1869) were surveyed by mail using a 17-item questionnaire to determine current diagnostic and treatment practices for prostatitis/chronic pelvic pain syndrome.

RESULTS: Only 1.5% (11/739) of urologists diagnosed chronic prostatitis/chronic pelvic pain syndrome using the 4-glass test, while most did so using the 2-glass test (voided bladder [VB]2 and VB3, or VB2 and expressed prostatic secretion [EPS]). Approximately half (55.2%; 412/746) did not perform urine cultures to differentiate chronic bacterial prostatitis from chronic abacterial prostatitis/chronic pelvic pain syndrome. Approximately half (46%; 343/746) did not count the number of leukocytes in VB2 or VB3/EPS to differentiate chronic abacterial prostatitis from chronic pelvic pain syndrome. Although many urologists (63.8%; 459/720) thought that chronic abacterial prostatitis/chronic pelvic pain syndrome was not an infectious disease, many chose antimicrobial agents as the primary treatment. More than half (52.2%; 384/735) of all urologists felt pessimistic about dealing with chronic prostatitis/chronic pelvic pain syndrome compared to treating benign prostatic hypertrophy or prostate cancer, because of the high number of complaints by patients and their own lack of confidence in diagnosing and treating the condition.

CONCLUSION: There is much confusion and frustration among Japanese urologists about chronic prostatitis/chronic pelvic pain syndrome. Further studies are needed to elucidate its etiology and pathogenesis, and to establish guidelines for its diagnosis and treatment.
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Tna

Post by Tna »

Japan is hopelessly late about this disease.
I went to many hospitals. There are very many doctors
who declare that he has no abnormalities from the result
of urinalysis like school medical check-up, and doctors
who say that psychiatry should consult since valetudinarian
is the cause. Now, the medical treatment of muscles,
a nerve, etc. attracts attention in the world...

It is uneasy in whether this message is transmitted. :-|
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Post by webslave »

We hear you and understand you :smile:
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tractor316

Post by tractor316 »

The only good thing I'm starting to see is Med sites starting to admit Anti-biotics are useless to treat non-bacterial prostitis . And the change in now they call it chronic pelvic pain . It's a slow battle to win .
MastCells
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Post by MastCells »

Things will change...but very, very slooowwwly.
This is not medical advice. Please consult your physician.
tractor316

Post by tractor316 »

Here is a med site that admits antibiotics do not treat non bacterial prostatitis . http://www.medicinenet.com/prostatitis/article.htm
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