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| M McNaughton-Collins; MJ Barry; FJ Fowler Jr.; DB Elliott; Boston, MA; PC Albertsen; Farmington, CT (Presented by Dr. McNaughton-Collins).
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| Introduction and Objectives:
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| To examine the diagnosis and treatment of chronic prostatitis in 1998 we conducted a national survey of urologists who were practicing medicine at least 20 hrs/wk. |
| Methods:
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| Stratified random samples were drawn from the American Medical Association Registry of Physicians. |
| Results:
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| 504 urologists responded (response rate = 64%). Urologists reported seeing a mean of 50.6 (SE=2.9) patients newly diagnosed with chronic prostatitis in the past 12 months. |
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| In the past 12 months , when evaluating a patient with prostatitis, how often did you perform the Meares-Stamey four-glass test? |
| Almost Always | More than half the time | About half the time | Less than half the time | Rarely | Never |
| 4% | 3% | 4% | 9% | 33% | 47% |
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| How many of your chronic prostatitis patients did you treat with: |
| | All | More than half | About half | Less than half | Very few | None |
| Antibiotics | 40% | 42% | 9% | 4% | 4% | 1% |
| Alpha Blockers | 2% | 21% | 19% | 32% | 19% | 7% |
| Natural remedies | 1% | 4% | 6% | 14% | 34% | 41% |
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| Physician who often performed the 4-glass test did not differ in their antibiotic use from those who used it less often; however, they were more likely to use treatments other than antibiotics. Alpha blockers were used in half the patients or more by only 35% of physicians who never do the 4-glass test, compared with 42% who rarely do the test and 57% who do the test more often (P=0.002). Results were similar for treatment with natural remedies. |
| Conclusions:
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| Urologists are making the diagnosis of chronic prostatitis frequently, but are rarely doing the time-honored 4-glass test. Although bacterial prostatitis is reportedly uncommon, antibiotic use is not. |
| Source: 1999 AUA Meeting |
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