ProstatitisGuidelines-英国2008指南.docVIP

United Kingdom National guideline for the management of prostatitis (2008) Clinical Effectiveness Group British Association of Sexual Health and HIV Introduction and Methodology Scope and Purpose: This guideline offers recommendations on the management of acute and chronic prostatitis in the setting of genitourinary medicine clinics. It applies primarily to men aged 18 years or older presenting to health care professionals, working in departments offering level 3 care in Sexual Health (see national strategy) within the United Kingdom. However, the recommendations should prove useful in other settings such as urology and primary care. Stakeholder involvement: The authors are clinicians working in this field. Members of BASHH have had the opportunity to comment on the guideline, prior to publication. Rigour of Development: Search Strategy – Medline Search 1996-2006 using keyword “prostatitis” “pelvic pain, male” and “chronic pelvic pain, male”. Cochrane Database of Systematic reviews and the Cochrane Controlled Trials Register up 2007 using keyword “prostatitis”. Additional studies and review articles were identified through a manual search of bibliographies of retrieved articles Inclusion/exclusion of evidence criteria: Where available systematic reviews were used. Studies were limited to humans and English language. The previous guidelines (published in 2000) were used as a framework that was revised and updated. Classification Prostatitis is classified into the following categories as recommended by the US National Institutes for Health (NIH) [1] I Acute bacterial prostatitis II Chronic bacterial prostatitis III Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) A Inflammatory B Non-inflammatory (This division, based on the four-glass test, has not been shown to be of any clinical or prognostic significance ([2]) IV Asymptomatic inflammatory prostatitis (This is a histological diagnosis in patients undergoing a prostate biop