1) symptomatic 2) asymptomatic
History: Age 28. 2 yrs with long periods of severe perineal pain, phases with low flow, urge and dysuria. Remissions only during medication with peroral cortisone for concomitant asthma. Never UTI. Drach-class: Prostatodynia. TRUS: Hyperechoic area (inflammatory activity) surrounded by hypoechoic halo (edema) anteriorly in peripheral zone of right lobe. Extreme tenderness confined to this spot. Therapy: Focal TURP -> asymptomatic at 1y control. Histology: prostatitis with mononuclear and polymorphonuclear leucocytes. History: Age 32. Periodically urge, dysuria and discomfort in perineum and groins (3½ yrs). Symptom-free at the time of this exam. Drach-class: Prostatodynia. TRUS:Well delimited sector-shaped hyperechoic area, not tender. Therapy: At exacerbation, satisfactory effect with antiinflammatory drugs, warm sitz-baths. On one occasion, remission achieved after a series of prostatic massage.