The criteria for determining the efficacy of chronic prostatitis

  Chronic bacterial prostatitis is characterized by symptoms that tend to recur, and the patient’s subjective feelings are often inconsistent with the objective examination, thus making it tricky for clinicians to analyze the effectiveness of their treatment, thus leaving patients at a loss as to whether their disease is cured and whether they need to continue treatment. The following efficacy determination criteria are applied in clinical practice.  Clinical cure: (1) Disappearance of self-conscious symptoms.  (2) Disappearance of prostate pressure pain on palpation and softening or improvement in texture.  (3) Normal results of localized segmental urine test.  (4) Microscopic examination of prostatic fluid with white cell count <10/HPF, negative bacterial culture, and more than 2 consecutive normal examinations.  Efficacy: (1) Disappearance of self-conscious symptoms.  (2) Normal or improved prostate gland on palpation.  (3) Microscopic examination of prostatic fluid still > 10 white cells/HPF, or bacterial culture is still positive.  Effective: (1) Some symptoms improve or disappear.  (2) Prostate fluid microscopy leukocyte count is better than before treatment, and bacterial culture is still positive.  Ineffective: No improvement in symptoms and microscopic examination of prostatic fluid.