Chronic prostatitis
Last revised by Jeremy Jones on 20 Sep 2021
Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Jones J, Bell D, et al. Chronic prostatitis. Reference article, Radiopaedia.org (Accessed on 18 Apr 2024) https://doi.org/10.53347/rID-56334
Permalink:
rID:
56334
Article created:
26 Oct 2017,
Yuranga Weerakkody ◉
Disclosures:
At the time the article was created Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosures
Last revised:
20 Sep 2021,
Jeremy Jones ◉
Disclosures:
At the time the article was last revised Jeremy Jones had no recorded disclosures.
View Jeremy Jones's current disclosures
Revisions:
4 times, by
4 contributors -
see full revision history and disclosures
Systems:
Tags:
Synonyms:
- Chronic prostate inflammation
Chronic prostatitis is a heterogeneous condition characterized by chronic inflammation of the prostate gland.
Under the National Institutes of Health (NIH) classification system this may encompass
Other forms include
On this page:
Pathology
Chronic prostatitis is a condition in which there is inflammation of the gland with extracellular fluid surrounding the prostatic cells and stromal infiltration of chronic inflammatory cells particularly lymphocytes, plasma cells, macrophages.
Chronic bacterial prostatitis may result from undertreated acute prostatitis and recurrent infection, but can also occur without prior history in older men with lower urinary tract obstruction.
Radiographic features
MRI
- ADC: can give low ADC values due to destruction of the prostate gland leading to a decrease in the water diffusion capability
- DWI: degree of diffusion restriction in chronic prostatitis tends to be less than in prostate carcinoma 3
See also
References
- 1. Kitzing Y, Prando A, Varol C, Karczmar G, Maclean F, Oto A. Benign Conditions That Mimic Prostate Carcinoma: MR Imaging Features with Histopathologic Correlation. Radiographics. 2016;36(1):162-75. doi:10.1148/rg.2016150030
- 2. Rosenkrantz A & Taneja S. Radiologist, Be Aware: Ten Pitfalls That Confound the Interpretation of Multiparametric Prostate MRI. AJR Am J Roentgenol. 2014;202(1):109-20. doi:10.2214/ajr.13.10699
- 3. Franiel T, Lüdemann L, Rudolph B et al. Evaluation of Normal Prostate Tissue, Chronic Prostatitis, and Prostate Cancer by Quantitative Perfusion Analysis Using a Dynamic Contrast-Enhanced Inversion-Prepared Dual-Contrast Gradient Echo Sequence. Invest Radiol. 2008;43(7):481-7. doi:10.1097/rli.0b013e31816b2f63
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