Urologia Internationalis

Original Paper

Prostatitis-Like Symptoms: Diagnosis and Management in a Malaysian Primary Care Population

Lee S.W.H.a · Liong M.L.b · Yuen K.H.a · Leong W.S.b · Khan N.a · Cheah P.Y.a · Krieger J.N.c

Author affiliations

aSchool of Pharmaceutical Science, University of Science, and bDepartment of Urology, Lam Wah Ee Hospital, Penang, Malaysia; cDepartment of Urology, University of Washington School of Medicine, Seattle, Wash., USA

Keywords: Chronic pelvic painProstatitis syndromesPrimary care management

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Urol Int 2009;82:32–37
https://doi.org/10.1159/000176022

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: August 06, 2007
Accepted: October 22, 2007
Published online: January 20, 2009
Issue release date: January 2009

Number of Print Pages: 6
Number of Figures: 1
Number of Tables: 2

ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)

For additional information: https://www.karger.com/UIN

Abstract

Background: Little is known about how primary care physicians (PCPs) in Asia diagnose and manage prostatitis-like symptoms. This study investigated the clinical diagnosis of and care provided for prostatitis-like symptoms by PCPs in a Malaysian population, and compared these findings to reports from other areas. Methods: All members of the Penang Private Medical Practitioners’ Society were asked to complete a self-administered survey. Nonresponders were contacted after 3 weeks and received a telephone request after 6 weeks. Results: Of the 786 practitioners contacted, 669 considered themselves to be PCPs, including 279 (42%) who responded to the survey. Adult males with prostatitis-like symptoms typically constitute <1% of the patients seen by PCPs. Most PCPs (72%) believe that prostatitis-like symptoms are caused by bacterial infection. 61% of PCPs base their diagnosis of prostatitis-like symptoms on clinical history, a physical examination and dipstick urinalysis. Standard management was to prescribe 1 or 2 courses of antimicrobials. Conclusions: Despite the 8.7% prevalence found in a previous survey in this population, prostatitis remains underdiagnosed in Malaysia. In contrast to many other clinical settings, urologists in Malaysia see a large proportion of newly diagnosed and treatment-naïve prostatitis patients, providing an opportunity for clinical diagnostic and treatment studies.

© 2009 S. Karger AG, Basel



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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: August 06, 2007
Accepted: October 22, 2007
Published online: January 20, 2009
Issue release date: January 2009

Number of Print Pages: 6
Number of Figures: 1
Number of Tables: 2

ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)

For additional information: https://www.karger.com/UIN

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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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2009, Vol.82, No. 1

January 2009

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