| 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. |
