الفهرس 
Material and methodsOnly 14 pages are availabe for public view
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Abstract
Chronic non bacterial prostatitis has been attributed to several
etiologies, including viral and inflammatory causes as well as bladder
outlet obstruction and abnormalities of the pelvic floor muscles.
Unfortunately, there is a significant rate of recurrent symptoms,
which suggests that many patients who are treated empirically for
presumed chronic non-bacterial prostatitis may have a different and
multifactorialunderling mechanismfor tile cause of the symptoms.
Is there any voiding dysfunction associated with chronic non
bacterial prostatitis or not. Our study was performed to answer tilis
question.
In this senes we studied 30 patients with non bacterial prostatitis
from December 1996 to December 1998 (diagnosed by clinical and
bacteriological studies) were subjected to: -
I-Clinical assessment.
2-Complete urine analysis.
3-Stamey’s localization test.
4-Plain urinary tract.
S-Intravenouspyelography in some patients.
6-Urodynarnic study including:-
A-Uroflowmetry.
B- Cystometry.
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Voiding Dysf. in Cit Non Bact. Prosl. Summary and Conclusion
C- Electromyography of the pelvic floor muscle.
D- urethral pressure profile.
E- Vedio cystourethrogram.
from this study we found that our patients complaint mainly from
irritative symptoms (76.7 %) mostly burning micturition, the second
complaint was the obstructed symptoms (66.7 %), mostly weak stream of
urme, the third complaint was pain (63.4 %) mostly in the perineum and
lastly the sexual complaint mainly burning ejaculation and premature
ejaculation.
All our patients were free by clinical examination. The unne
analysis revealed pyourea from 3 to 8 C/HPF and Stamey’s localization
test revealed pus cells less than 10 C/HPF in the expressed prostatic
secretion and the culture (aerobic and anaerobic) revealed no growth.
Transrectal ultrasound revealed dilatation of the seminal vesicles in
4 patients (13.3 %).
Urodynamic study revealed two patients (6.7 %) had obstructed
flow curve by uroflowmetry and 15 patients (50 %) had equivocal flow
curve.
By cystometry we found that 27 patients had normal cystometry
and three patients (10 %) had unstable bladder.
In the urethral pressure profile there were 8 patients who had
bladder neck contracture which was proved by cystourethroscopy, and
electromyography revealed that two patients (6.7 %) had external
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Voiding Dysf. in Ch. Non Bact. Prost. Summary and Conclusion
sphincteric dyssynergia.
Conclusion:
The prostatic symptoms, may be caused by many factors either
prostatitis, primary bladder neck obstruction, seminal vesiculitis pseudodyssynergia
etc ... So those patients with prostatic syndrome should be
thoroughly evaluated by laboratory (Stamey’s localization test),
radiological (Transrectal ultrasound), and urodynamic tests. Also
urodynamic study is a considerable method of evaluation of patients with
prostatic syndrome aid in determination of the etiology and its associated
factors which should be considered in the treatment.