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| Prostatitis Center |
| Tucson, Arizona |
Offering a non-surgical medical treatment for prostatitis
First developed and applied in
Manila, Republic of the Philippines |
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| Cytology of EPS |
| J. Polacheck, E. Vega |
| Prostatitis Center and Carondelet St. Joseph's Hospital, Tucson, AZ |
| In order to learn more about the pathophysiology of "chronic" prostatitis,
we examined the cytology of expressed prostatic secretions (EPS) from
patients with chronic prostatitis while they were being treated with
antibiotics and frequent prostatic massages.
Based on preliminary studies, we have made the following observations: |
- Prostatic inflammatory aggregates (PIAs), as described in the
previous abstract, decline in number or disappear in the EPS
of most patients during treatment. These patients usually
experience a decrease in or a disappearance of their pelvic pain.
- Frequently, reactive squamoid/urethral cells are observed in the EPS. As a clinical correlation, we have noted that these
patients then usually have prominent urethral symptoms.
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| It is not uncommon to observe short, bipolar, rod-like bacteria in association with reactive squamoid cells. In several of these cases, we
have been able to isolate cornybacteria (diptheroids) using special
bacteriologic techniques. These bacteria may display a unique
antibiotic sensitivity profile and, therefore in some cases, specific
antibiotics are required to eradicate them.
Histopathologic examination of prostate tissue removed surgically demonstrates that the most likely origin of these squamoid cells is from the
most distal portions of the prostatic ducts and/or the prostatic urethra itself. |
| Therefore, what is called "chronic prostatitis" may actually be two separate,
albeit closely related, disease entities, one: "chronic active prostatitis" (CAP)
and the other: "chronic prostatic urethritis" (CPU). |
| Return to 1999 NIH abstracts |
| Contact |
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- Mail
- P. O. Box 85699
- Tucson, Arizona 85754
- USA
- E-mail:
- jpolacheck@attglobal.net or (alternate address)
jpolach@azstarnet.com
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- Phone :
- 520-620-9909
- Fax:
- 520-903-9972
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