Distal urethral web: a risk factor in prostatitis

Abstract

This study aims to identify a risk factor in the form of a distal urethral web in chronic prostatitis, resection of which should lead to significant symptom reduction. The distal urethral web has been identified as a risk factor in chronic prostatitis, surgical resection of which resulted in reduction of symptoms as measured by the prostatitis specific symptom indexes. A risk factor in chronic prostatitis has been identified as a reflux-causing distal urethral web, surgical resection of which resulted in significant symptom severity reduction and a smaller decline in the frequency of symptoms. Overall, this study shows that the distal urethral web is a risk factor for chronic prostatitis and chronic pelvic pain syndrome, and that its resection resulted in significant symptom severity reduction with a lesser decline in the frequency of symptoms. This would indicate that the patients rated surgery as having an overwhelming edge when it came to reducing the severity of symptoms, but not so overwhelming an edge as far as the frequency of symptoms was concerned. This is probably reflective of the patients' choice for a combination of surgery and conventional treatments rather than one or the other alone, and/or other risk factors as yet undiscovered. Like other treatments in the past, this may not be the complete answer to chronic pelvic pain syndrome (CPPS).