将Ⅲ型前列腺炎更名为前列腺盆腔综合征的提出与思考

Proposal and thinking of renaming type Ⅲ prostatitis to prostate-pelvic syndrome

前列腺炎是泌尿男科常见病之一,现有的前列腺炎分型方法存在诸多不足。传统分型中的"非细菌性前列腺炎"的病因不清,且易与"前列腺痛"混淆。NIH分型依赖"四杯法",临床操作繁琐且假阳性率高,临床应用较少。前列腺液中白细胞检测结果与疾病实际情况不符。Ⅲ型前列腺炎即慢性前列腺炎/慢性盆腔疼痛综合征的概念也没有将盆底和下尿路视为功能性整体。将Ⅲ型前列腺炎更名为前列腺盆腔综合征,探索建立以症状为核心的诊断及疗效评价标准,更能反映疾病本质,符合Ⅲ型前列腺炎患者以改善症状、提高生活质量为主的治疗目标。

Prostatitis is one of the common diseases of uro-andrology.There are still many deficiencies in the existing classification methods of prostatitis.In traditional classification criteria,the etiology of"nonbacterial prostatitis"is not clear,and it is easily confused with"prostate pain".NIH classification relies on the Meares-Stamey 4-glass test,which is complex and with a high false-positive rate,thus limiting its clinical application.In addition,the WBC count in prostate fluid could not reflect the actual condition of the disease.The concept of typeⅢprostatitis,or chronic prostatitis/chronic pelvic pain syndrome,does not regard the pelvic floor and lower urinary tract as a functional entirety.Renaming typeⅢprostatitis into prostate-pelvic syndrome,exploring and establishing the symptom-based criteria of diagnosis and efficacy assessment,would better reflect the intrinsic nature of the disease,and meet the therapeutic goals to relieve symptoms and improve quality of life in typeⅢprostatitis patients.