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Medical Forum / Diseases and Disorders / Prostatitis / January 2005

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distribution of PROSTATIS-syndromes

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Frank PAUL - 23 Nov 2004 19:54 GMT
Hi peoples,
im a german guy with problems since 3 weeks;

Has anybody a scientific source (book, study), in which the
variants of p. are shown in percentage ?

e.g.
10% acute
60% chronic
30% prostadyne ...
AC - 23 Nov 2004 22:18 GMT
>Has anybody a scientific source (book, study), in which the
>variants of p. are shown in percentage ?
[quoted text clipped - 3 lines]
>60% chronic
>30% prostadyne ...

I recall that nickels book (english only as far as I know) says
something at least

NIH (USA) clasification:
(page 31)
cat I acute (bacterial)
cat II recurrent infections
cat III chronic non-bacterial (or CPPS)
-> cat IIIa CPPS
-> cat IIIb CPPS (95% of cat III)

Acute Bacterial Prostatits is rare, diagnosis is relatively simple,
treatment is invariably successful. Few patients progress into chronic
prostatitis syndrome.
(Page 57)

not very statistical, but the NIH classifications are a very useful
basis for communication. Maybe there is survey research based on them,
but I have not seen it anywhere.

The Nickel book can be seen for purchase and limited review of some
pages at
http://www.bps-assoc.org.uk/books_Nickel.cfm
(use acrobat)

Signature

AC  - For Prostatitis Support in UK - see www.bps-assoc.org.uk

Gutbuster - 24 Nov 2004 12:11 GMT
>>Has anybody a scientific source (book, study), in which the
>>variants of p. are shown in percentage ?
[quoted text clipped - 19 lines]
> prostatitis syndrome.
> (Page 57)

Interesting that because mine is acute and bacterial and never goes away no
matter what is done. The specialist said it was the most common.

BTW, on another note, "Prostatits". No wonder my nipples hurt! :)
AC - 24 Nov 2004 20:26 GMT
>> Acute Bacterial Prostatits is rare, diagnosis is relatively simple,
>> treatment is invariably successful. Few patients progress into chronic
>> prostatitis syndrome.
>> (Page 57)
>
>Interesting that because mine is acute and bacterial

very strange, never heard of that. Are you satisfied that the tests for
'bacteria' are ok?

> and never goes away no
>matter what is done

have you had a second independent opinion?

>. The specialist said it was the most common.
It *is* common to come across specialists who are not as experienced or
as effective as might be hoped for!

Have a good look around the internet for comments and symptoms and
treatments - what you say surprises me.
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For Prostatitis Support in UK - see www.bps-assoc.org.uk

Gutbuster - 24 Nov 2004 20:32 GMT
>>> Acute Bacterial Prostatits is rare, diagnosis is relatively simple,
>>> treatment is invariably successful. Few patients progress into chronic
[quoted text clipped - 5 lines]
> very strange, never heard of that. Are you satisfied that the tests for
> 'bacteria' are ok?

Yep. Doxy, when I dont take it constantly helps.

>> and never goes away no
>>matter what is done
>
> have you had a second independent opinion?

No, I dont really think it is needed to be honest. It is clear I have
bacterial and it is clear it doesnt ever go away in reality though I guess
there may be some, somewhere, who have experienced it being gone for good.

>>. The specialist said it was the most common.
> It *is* common to come across specialists who are not as experienced or
> as effective as might be hoped for!

I dont believe that to be the case to be honest.

> Have a good look around the internet for comments and symptoms and
> treatments - what you say surprises me.

Doesn't surprise me at all. I have actually read this many times over on
Internet since being diagnosed.
Unemployed - 10 Jan 2005 16:58 GMT
>>>> Acute Bacterial Prostatits is rare, diagnosis is relatively simple,
>>>> treatment is invariably successful. Few patients progress into chronic
[quoted text clipped - 7 lines]
>
> Yep. Doxy, when I dont take it constantly helps.

That does not mean that you have a bacterial infection.  Have you had an EPS
sample taken and then have had a five-day culture taken on it?
Gutbuster - 10 Jan 2005 20:32 GMT
>>>>> Acute Bacterial Prostatits is rare, diagnosis is relatively simple,
>>>>> treatment is invariably successful. Few patients progress into chronic
[quoted text clipped - 9 lines]
>
> That does not mean that you have a bacterial infection.

I have acute bacterial prostatitis, definitely.
Unemployed - 11 Jan 2005 09:21 GMT
>>> Yep. Doxy, when I dont take it constantly helps.
>>
>> That does not mean that you have a bacterial infection.
>
> I have acute bacterial prostatitis, definitely.

By defenition, acute bacterial prostatitis is only temporary.

Why don't see one of the good doctors instead of the quacks, like Wheeler,
Polacheck, and Feliciano?
Gutbuster - 11 Jan 2005 20:42 GMT
>>>> Yep. Doxy, when I dont take it constantly helps.
>>>
[quoted text clipped - 3 lines]
>
> By defenition, acute bacterial prostatitis is only temporary.

No, not true. Unfortunately the prostate is an organ that filters. The area
cannot fully be treated no matter what you do to get rid of the bacteria
thus it always comes back, never goes away.

> Why don't see one of the good doctors instead of the quacks, like Wheeler,
> Polacheck, and Feliciano?

I don't go to known quacks.
Elton Fan - 12 Jan 2005 10:40 GMT
> > By defenition, acute bacterial prostatitis is only temporary.
>
> No, not true. Unfortunately the prostate is an organ that filters. The area
> cannot fully be treated no matter what you do to get rid of the bacteria
> thus it always comes back, never goes away.

This sounds more like chronic bacterial prostatitis.  It's also rare.
If you're certain that you do have an infection, have you considered an
intraprostatic injection?
Gutbuster - 12 Jan 2005 11:20 GMT
>> > By defenition, acute bacterial prostatitis is only temporary.
>>
[quoted text clipped - 5 lines]
>
> This sounds more like chronic bacterial prostatitis.

It's the same thing - acute, severe, chronic. They mean the same thing.

> It's also rare.

Actually no. It's quite a common thing according to the uro who diagnosed
me.

> If you're certain that you do have an infection, have you considered an
> intraprostatic injection?

They are only a quack's idea of something to help unfortunately. The needle
going in can lead to worse problems and NEVER clears it. Unfortunately it
ALWAYS comes back, never goes away and there is nothing that can be done
about it under current medical technology except with the possibility of
removing the prostate. I don't like that idea though.
NC - 12 Jan 2005 14:50 GMT
> >> > By defenition, acute bacterial prostatitis is only temporary.
> >>
[quoted text clipped - 21 lines]
> about it under current medical technology except with the possibility of
> removing the prostate. I don't like that idea though.

It seems that those who do not have chronic bacterial prostatitis have
difficulty accepting or acknowledging that there are a significant number of
sufferers out there. I would never try to minimize the difficulties of CPPS.
Perhaps the majority of posters here have CPPS, but they should recognize
that bacterial infections are real and are difficult to get rid of. I should
know after 30 years.
Gutbuster - 13 Jan 2005 04:43 GMT
>> >> > By defenition, acute bacterial prostatitis is only temporary.
>> >>
[quoted text clipped - 32 lines]
> should
> know after 30 years.

You don't have to have it that long to become educated on the point, though.
I have had it probably about 15 years as I can remember the pain but chose
to ignore it.

When I was diagnosed with it, I went straight to the web and found out a lot
of stuff. The injections mentioned by that other person can lead people to a
LOT of trouble and yes you are right, it is impossible to get rid of chronic
bacterial prostatitis without getting rid of the prostate right now.
David Spiro - 12 Jan 2005 15:19 GMT
> It's the same thing - acute, severe, chronic. They mean the same thing.

As a former paramedic, I can tell you that the definition of acute and
chronic are NOT the same thing. An acute condition is one that arises
quickly, and is treated, then goes away. Chronic conditions are ones that
are recurrent. Acute conditions may recur, but there are usually very long
periods of time between recurrences, unlike chronic conditions, which are
constant. The term severe has nothing to do with the duration of the
condition. It is a measure of the potency of the condition. Example: There
are two forms of organ rejection. (I am a transplant patient, I know about
this issue) Acute and chronic. Acute rejection (which I have had.) is
treated, and then goes away. Chronic rejection stays with the person, and is
almost impossible to knock down, resulting in the need for
re-transplantation.

An acute bacterial infection, wherever it is, is treated, and then the
symptoms go away as a result of the bacteria being cleared form the body. In
chronic conditions, the bacteria is not cleared form the body, resulting in
re-infection. A classic example of this would be herpes simplex, which is a
chronic viral condition.

Signature

David Spiro
Liver Transplant Recipient - 8/1/97
RECYCLE YOURSELF! - BE AN ORGAN DONOR
"The fool wonders, the wise man asks."
--Benjamin Disraeli

Gutbuster - 13 Jan 2005 04:49 GMT
>> It's the same thing - acute, severe, chronic. They mean the same thing.
>
> As a former paramedic, I can tell you that the definition of acute and
> chronic are NOT the same thing.

Good for you. I can tell you it is. You cannot have chroinc without it being
acute. You cannot have Chronic or acute without it first being severe.

You may have been a paramedic but you dont understand the words if you dont
think I am right.

> An acute condition is one that arises quickly, and is treated, then goes
> away.

Rubbish. That is only SOMETIMES true. Acute can be recurring and never going
away.

>  Chronic conditions are ones that are recurrent.

Again, rubbish. Chronic conditions not only are recurring, they also refer
to incurable conditions that never lessen. Your lack of understanding of the
semantics here is amazing for a self-called former paramedic!

> Acute conditions may recur, but there are usually very long
> periods of time between recurrences, unlike chronic conditions, which are

Once more, rubbish. Ask any RRMS sufferer if they suffer long times between.
Some do, a lot dont. You can have short intervals or anything in between.

At this point I gave up answering. I suggest you get used to the way the
words chronic, acute, severe are used these days in reference to medical
problems. They all mean the same thing. A chronic condition is often
referred to as an acute one and either is often referred to as severe. I
have severe sleep apnea. It is also referred to by sleep disorders
professionals as a chronic condition and it is labelled severe because it
is, as I have been told, as bad as it gets while still being here to talk
about it.

Words change over time. Keep up with the changes!
mrpubmed@hotmail.com - 13 Jan 2005 11:26 GMT
Sorry, you are flat out wrong. Feel free to make up your own
definitions and call what you have anything you want, but there is one
clear and unambiguous definition of acute prostatitis (NIH category I
prostatitis). It is an acute urinary tract infection characterized by
fever, chills, pain and urinary symptoms (often leading to urinary
retention) caused by bacteria easily recoverable from the urine and
usually gram negative rods (eg E. coli). It is highly responsive to
antibiotics and very rarely recurrs unless there are other predisposing
urological conditions (chronic retention). The vast majority of
patients with chronic bacterial (category II) and "nonbacterial"
chronic pelvic pain syndrome (category III) have never had an episode
of acute prostatitis.

These are the definitions. Argue all you want about what you think it
SHOULD mean and what your own diagnosis SHOULD be called, but that
doesn't change the facts.
Gutbuster - 13 Jan 2005 11:42 GMT
> Sorry, you are flat out wrong.

No, sorry, sadly you are. You don't understand what the words mean, quite
obviously. Sad, really.
mrpubmed@hotmail.com - 13 Jan 2005 14:50 GMT
Put your money where your mouth is dickwad. If my definition is
correct, you donate $5000 via paypal to the red cross tsunami relief
effort and post your paypal receipt minus your real name. If my
definition as posted is wrong, I'll do the same. I'll be glad to post
the source of the definition from several published peer reviewed
journals and 1 textbook written by the leader in the field.
Till then, keep your own delusional theories to yourself.
Gutbuster - 13 Jan 2005 20:20 GMT
> Put your money where your mouth is dickwad.

Sigh. That's the end of it. You are wrong, you know it and you resort to
that. What a fool
David Spiro - 14 Jan 2005 18:34 GMT
Gutbuster, you are flat out wrong. You can reason it all you want, but the
terms acute, chronic and severe are not, and never were the same.

Signature

David Spiro
Liver Transplant Recipient - 8/1/97
RECYCLE YOURSELF! - BE AN ORGAN DONOR
"The fool wonders, the wise man asks."
--Benjamin Disraeli

Gutbuster - 15 Jan 2005 02:05 GMT
I ended this thread when it was proven I was right by people resorting to
name calling. That's all that needs be said.

> Gutbuster, you are flat out wrong. You can reason it all you want, but the
> terms acute, chronic and severe are not, and never were the same.
PelvPain - 15 Jan 2005 03:49 GMT
> I ended this thread when it was proven I was right by people
> resorting to name calling. That's all that needs be said.

You're a moron. Somewhere there's a village looking for its idiot. Go home.
Gutbuster - 16 Jan 2005 03:10 GMT
>> I ended this thread when it was proven I was right by people
>> resorting to name calling. That's all that needs be said.
>
> You're a moron. Somewhere there's a village looking for its idiot. Go
> home.

I ended this thread when it was proven I was right by people resorting to
name calling. That's all that needs be said.
PelvPain - 16 Jan 2005 04:34 GMT
>>> I ended this thread when it was proven I was right by people
>>> resorting to name calling. That's all that needs be said.
[quoted text clipped - 4 lines]
> I ended this thread when it was proven I was right by people
> resorting to name calling. That's all that needs be said.

When idiots won't listen, intelligent people call them names. Got it?
Gutbuster - 16 Jan 2005 08:19 GMT
>>>> I ended this thread when it was proven I was right by people resorting
>>>> to name calling. That's all that needs be said.
[quoted text clipped - 6 lines]
>
> When idiots won't listen, intelligent people call them names. Got it?

I ended this thread when it was proven I was right by people resorting to
name calling. That's all that needs be said.
David Spiro - 16 Jan 2005 14:23 GMT
> I ended this thread when it was proven I was right by people resorting to
> name calling. That's all that needs be said.

Your choice. Have fun wallowing in your ignorance.
Gutbuster - 16 Jan 2005 20:15 GMT
>> I ended this thread when it was proven I was right by people resorting to
>> name calling. That's all that needs be said.
>
> Your choice. Have fun wallowing in your ignorance.

I ended this thread when it was proven I was right by people resorting to
name calling. That's all that needs be said.
David Spiro - 16 Jan 2005 21:06 GMT
> I ended this thread when it was proven I was right by people resorting to
> name calling. That's all that needs be said.

................and yet, you keep responding to the posts. So much for this
thread being "ended".
Gutbuster - 17 Jan 2005 20:44 GMT
>> I ended this thread when it was proven I was right by people resorting to
>> name calling. That's all that needs be said.
>
> ................and yet, you keep responding to the posts. So much for
> this
> thread being "ended".

I ended this thread when it was proven I was right by people resorting to
name calling. That's all that needs be said.
PelvPain - 17 Jan 2005 21:57 GMT
>>> I ended this thread when it was proven I was right by people
>>> resorting to name calling. That's all that needs be said.
[quoted text clipped - 4 lines]
> I ended this thread when it was proven I was right by people
> resorting to name calling. That's all that needs be said.

OK, Guts, you win then ;-)
Unemployed - 17 Jan 2005 23:21 GMT
> I ended this thread when it was proven I was right by people resorting to
> name calling. That's all that needs be said.

Your repetition of your own vomit doesn't make it any more true.

Henceforth you will not get any more replies from me due to your childish
behavior.
Gutbuster - 18 Jan 2005 03:11 GMT
>> I ended this thread when it was proven I was right by people resorting to
>> name calling. That's all that needs be said.
[quoted text clipped - 3 lines]
> Henceforth you will not get any more replies from me due to your childish
> behavior.

I ended this thread when it was proven I was right by people resorting to
name calling. That's all that needs be said.
Frank PAUL - 24 Nov 2004 15:09 GMT
Thanky you for this first info; in the meantime I have found this
"classification" in german-press as well;
So, I am astonished -better say shocked- that there is no "chance" to get an

-->acute non-bacterial syndrome<--
==========================

> >Has anybody a scientific source (book, study), in which the
> >variants of p. are shown in percentage ?
[quoted text clipped - 28 lines]
> http://www.bps-assoc.org.uk/books_Nickel.cfm
> (use acrobat)
AC - 24 Nov 2004 17:44 GMT
[...]
>not very statistical, but the NIH classifications are a very useful
>basis for communication. Maybe there is survey research based on them,
[quoted text clipped - 4 lines]
>http://www.bps-assoc.org.uk/books_Nickel.cfm
>(use acrobat)

I have just discovered that google recently began a 'scholar' search
site - useful for detail scientific searches for example
try looking using that:

http://www.scholar.google.com/

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For Prostatitis Support in UK - see www.bps-assoc.org.uk

 
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