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Previous Volume 355:1690-1698 October 19, 2006 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 38-year-old man reports pelvic pain, dysuria, and urinary urgency for the past 4 weeks. He has had several similar episodes over the past 2 years; urine cultures were not performed. He is sexually active and notes frequent discomfort after ejaculation. He is otherwise healthy and takes no medication. He does not have fever, chills, or flank pain. How should he be . . . [Full Text of this Article]

The Clinical Problem

Epidemiology

Strategies and Evidence

Diagnosis

            Chronic Bacterial Prostatitis

            Chronic Pelvic Pain Syndrome

Treatment

            Chronic Bacterial Prostatitis

            Chronic Pelvic Pain Syndrome

            Alpha-Blockers

            Antimicrobial Therapy

            5-Reductase Inhibitors

            Other Therapies

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago.

Address reprint requests to Dr. Schaeffer at the Department of Urology, Feinberg School of Medicine, Northwestern University, 303 E. Chicago Ave., Tarry 16-703, Chicago, IL 60611, or at ajschaeffer@northwestern.edu.

Related Letters:

Chronic Prostatitis
Luzzi G., Schaeffer A. J.
Extract | Full Text | PDF  
N Engl J Med 2007; 356:423-424, Jan 25, 2007. Correspondence

This article has been cited by other articles:

• Rudick, C. N., Schaeffer, A. J., Thumbikat, P. (2008). Experimental autoimmune prostatitis induces chronic pelvic pain. Am. J. Physiol. Regul. Integr. Comp. Physiol. 294: R1268-R1275 [Abstract] [Full Text]  
• Luzzi, G., Schaeffer, A. J. (2007). Chronic Prostatitis. NEJM 356: 423-424 [Full Text]