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Prostatitis Center

Tucson, Arizona

Ureaplasma, in patients with Chronic Prostatitis

J. Polacheck
Prostatitis Center and Carondelet Hospitals, Tucson, AZ
We wish to present preliminary observations about the atypical bacteria/bacteria-like organisms, ureaplasma, in patients with clinical signs and symptoms of chronic prostatitis.
  1. We have isolated Ureaplasma urealyticum from about 25 percent of EPS specimens from patients with "chronic prostatitis" and/or from genital cultures from their regular sexual partners. The organism was recovered more frequently from genital cultures of the female partners than from the EPS from male patients.

  2. Mycoplasma species were isolated only rarely.

  3. When patients and their sexual partners were treated with antibiotics reported to be effective in treating ureaplasma, follow-up cultures usually were negative after two weeks of treatment. However, occasionally, a prolonged course of antibiotics was required.

  4. Most of these patients had epididymal pain. Not all had tenderness to palpation of the epididymis, suggesting that, in some cases, the pain was due to nerve damage.
It is possible that in some cases, the pain is referred. We refer to this condition as chronic epididymal syndrome (CES).
The above observations suggest that ureaplasma species may play a role in "chronic prostatitis" and/or CES. Further studies are needed
Return to 1999 NIH abstracts

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