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To the Editor: Prostatitis is a common cause of visits to primary care physicians and urologists. In practice, the clinical diagnosis of prostatitis depends on the history and physical examination, but there is no characteristic physical finding or diagnostic laboratory test. Patients with prostatitis experience considerable morbidity and may remain symptomatic for many years. Unfortunately, there is limited understanding of the pathophysiology and optimal treatment for most patients.

To improve diagnosis and treatment of prostatitis, the National Institutes of Health (NIH) established an International Prostatitis Collaborative Network. This group evaluated the literature and clinical practice and convened 2 consensus conferences (1 in 1995 and in 1998) to establish a new definition and classification of prostatitis syndromes. This consensus classification will serve as the framework for international studies to determine the causes and optimal strategies for patient management.

The NIH consensus classification of prostatitis syndromes includes 4 categories:

I. Acute bacterial . . . [Full Text of this Article]

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