Updates on therapies for chronic prostatitis/chronic pelvic pain syndrome

Table 2 Diagnostic evaluation of chronic prostatitis/chronic pelvic pain syndrome

Primary evaluation

History: Should include complete background and symptom evaluation

Physical exam: Complete physical exam including a digital rectal exam and check for myofascial tenderness

Pain evaluation: Use the National Institute of Health-Chronic Prostatitis Symptom index for quantification of the symptoms

Urinalysis and culture

Specialized evaluation

Meares-stamey four glass test

Pre and post-massage two glass test

Urodynamic studies (only if lower urinary tract symptoms or outflow obstruction present)

New/optional evaluation

Serum prostate-specific antigen

Prostatic fluid nerve growth factor levels

Cystoscopy

Transrectal ultrasound or computerized tomography scan

Intra-anal electromyography

Pelvic floor ultrasound