Questionnaire Survey of Urologists Concerning Chronic Prostatitis and Chronic Pelvic Pain Syndrome

Abstract

Objective: To perform a questionnaire survey among urologists to determine issues about presentation, work-up and management of Chronic Prostatitis and CPPS.
Method: It was a Questionnaire Survey, which was done in Department of Urology, SIMS/Services Hospital Lahore during the period March 2019 to September 2019. Non-probability Convenient sampling technique was used. Adetailed questionnaire regarding workup and management of CP/CPPS was circulated by e-mail among 100 Consultant urologists, all over Pakistan with more than 3 years post fellowship clinical experience in tertiary care hospitals. These urologists were requested to fill the questionnaire forms then data
was analysed on IPSS 20 and resulted were generated.
Results: Most of the urologists responded that patients have multiple symptoms. Most common were lower urinary tract symptoms (92%) and perennial pain (55%). None of the urologists were accustomed to applying (NIH) chronic prostatitis symptoms score. About 45% perform digital rectal examination. Four glass test is practiced by only 4% of our urologists, while most perform urine microscopy and culture (82%). About half of the urologists get abdominal ultrasound done before initiating treatment. Although many urologists (43%) think that this diagnosis of exclusion is not infective in nature but still choose broad spectrum antibiotics as first line. Quinolones are preferred by majority (84%) of urologists. For symptomatic relief, alpha-blockers are prescribed by 62% urologists and NSAIDS by 72%, whereas spasmolytics are used less frequently (28%). Therapeutic prostatic massage is being practiced by 15% of the urologists and they feel that it is useful. Transurethral resection of prostate in not recommended by any urologist.
Conclusion: There is no appropriate following of standard protocols in our urology community and a hit and run attitude is followed. We need proper randomized controlled trials in our population and formulation of national guidelines on this issue.

How to cite: Shah AA, Mannan A, Ayub M, Shafi N, Ali A, Raza ZA, Farooq M. Anwar MS. Questionnaire Survey of Urologists Concerning Chronic Prostatitis and Chronic Pelvic Pain Syndrome. Esculapio - JSIMS 2022;18(02):