The Significance of Prostatitis in Urinary Tract Infection in the Male

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Abstract
A review of all cases of urinary tract infection occurring in a naval population group has been carried out over a four year period. There were 281 cases of cysto-prostatitis; a previous venereal urethritis did not occur significantly in these cases and the incidence appeared to be greater in married as opposed to single personnel. The importance of direct examination of prostatic fluid in the assessment of these cases is established. The response to initial treatment of the condition may be a guide to long term prognosis. Cases of epididymitis and pyelonephritis were also considered during the same four year period. Evidence of a primary infective focus in the prostate gland in these conditions is established and the possible pathway and mechanism of infection from this focus is discussed. Attention is drawn, again, to the importance of examination of the prostatic fluid in these cases. Effective treatment of these conditions must ensure eradication of the infective focus within the prostate gland as well, in order to minimise the chance of relapse.

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