Type 3: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)
Type 4: Asymptomatic inflammatory prostatitis
Granulomatous prostatitis: Inflammatory process characterized by presence of granulomas
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
Selected References
Shakur A et al: Prostatitis: imaging appearances and diagnostic considerations. Clin Radiol. 76(6):416-26, 2021
Chatterjee A et al: Prostate MR: pitfalls and benign lesions. Abdom Radiol (NY). 45(7):2154-64, 2020
Green DB et al: Complications of intravesical BCG immunotherapy for bladder cancer. Radiographics. 39(1):80-94, 2019
Lee SM et al: Multiparametric MRI appearances of primary granulomatous prostatitis. Br J Radiol. 92(1098):20180075, 2019
Turkbey B et al: Prostate imaging reporting and data system version 2.1: 2019 update of prostate imaging reporting and data system version 2. Eur Urol. 76(3):340-51, 2019
Ackerman AL et al: Diagnosis and treatment of patients with prostatic abscess in the post-antibiotic era. Int J Urol. 25(2):103-10, 2018
Diaz de Leon A et al: Case 258: granulomatous prostatitis. Radiology. 289(1):267-71, 2018
Jyoti R et al: In-gantry MRI guided prostate biopsy diagnosis of prostatitis and its relationship with PIRADS V.2 based score. J Med Imaging Radiat Oncol. 61(2):212-15, 2017
Rais-Bahrami S et al: Clinical and multiparametric MRI signatures of granulomatous prostatitis. Abdom Radiol (NY). 42(7):1956-62, 2017
Li Y et al: Beyond prostate adenocarcinoma: expanding the differential diagnosis in prostate pathologic conditions. Radiographics. 36(4):1055-75, 2016
Tommaso C et al: Prostatitis and Its Management Concepts and Recommendations for Clinical Practice. 1st Ed. Springer, 2016
Rosenkrantz AB et al: Radiologist, be aware: ten pitfalls that confound the interpretation of multiparametric prostate MRI. AJR Am J Roentgenol. 202(1):109-20, 2014
Hoeks CM et al: Diffusion-weighted magnetic resonance imaging in the prostate transition zone: histopathological validation using magnetic resonance-guided biopsy specimens. Invest Radiol. 48(10):693-701, 2013
Suzuki T et al: MRI findings of granulomatous prostatitis developing after intravesical Bacillus Calmette-Guérin therapy. Clin Radiol. 68(6):595-9, 2013
Murphy AB et al: Chronic prostatitis: management strategies. Drugs. 69(1):71-84, 2009
Rothman JR et al: Prostatitis: updates on diagnostic evaluation. Curr Urol Rep. 8(4):301-6, 2007
Habermacher GM et al: Prostatitis/chronic pelvic pain syndrome. Annu Rev Med. 57:195-206, 2006
Hua VN et al: Acute and chronic prostatitis. Med Clin North Am. 88(2):483-94, 2004
Shukla-Dave A et al: Chronic prostatitis: MR imaging and 1H MR spectroscopic imaging findings--initial observations. Radiology. 231(3):717-24, 2004
Gurunadha Rao Tunuguntla HS et al: Management of prostatitis. Prostate Cancer Prostatic Dis. 5(3):172-9, 2002
Engelhard K et al: Combination of signal intensity measurements of lesions in the peripheral zone of prostate with MRI and serum PSA level for differentiating benign disease from prostate cancer. Eur Radiol. 10(12):1947-53, 2000
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Definitions
NIH classification
Type 1: Acute bacterial prostatitis
Type 2: Chronic bacterial prostatitis
Type 3: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)
Type 4: Asymptomatic inflammatory prostatitis
Granulomatous prostatitis: Inflammatory process characterized by presence of granulomas
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
Selected References
Shakur A et al: Prostatitis: imaging appearances and diagnostic considerations. Clin Radiol. 76(6):416-26, 2021
Chatterjee A et al: Prostate MR: pitfalls and benign lesions. Abdom Radiol (NY). 45(7):2154-64, 2020
Green DB et al: Complications of intravesical BCG immunotherapy for bladder cancer. Radiographics. 39(1):80-94, 2019
Lee SM et al: Multiparametric MRI appearances of primary granulomatous prostatitis. Br J Radiol. 92(1098):20180075, 2019
Turkbey B et al: Prostate imaging reporting and data system version 2.1: 2019 update of prostate imaging reporting and data system version 2. Eur Urol. 76(3):340-51, 2019
Ackerman AL et al: Diagnosis and treatment of patients with prostatic abscess in the post-antibiotic era. Int J Urol. 25(2):103-10, 2018
Diaz de Leon A et al: Case 258: granulomatous prostatitis. Radiology. 289(1):267-71, 2018
Jyoti R et al: In-gantry MRI guided prostate biopsy diagnosis of prostatitis and its relationship with PIRADS V.2 based score. J Med Imaging Radiat Oncol. 61(2):212-15, 2017
Rais-Bahrami S et al: Clinical and multiparametric MRI signatures of granulomatous prostatitis. Abdom Radiol (NY). 42(7):1956-62, 2017
Li Y et al: Beyond prostate adenocarcinoma: expanding the differential diagnosis in prostate pathologic conditions. Radiographics. 36(4):1055-75, 2016
Tommaso C et al: Prostatitis and Its Management Concepts and Recommendations for Clinical Practice. 1st Ed. Springer, 2016
Rosenkrantz AB et al: Radiologist, be aware: ten pitfalls that confound the interpretation of multiparametric prostate MRI. AJR Am J Roentgenol. 202(1):109-20, 2014
Hoeks CM et al: Diffusion-weighted magnetic resonance imaging in the prostate transition zone: histopathological validation using magnetic resonance-guided biopsy specimens. Invest Radiol. 48(10):693-701, 2013
Suzuki T et al: MRI findings of granulomatous prostatitis developing after intravesical Bacillus Calmette-Guérin therapy. Clin Radiol. 68(6):595-9, 2013
Murphy AB et al: Chronic prostatitis: management strategies. Drugs. 69(1):71-84, 2009
Rothman JR et al: Prostatitis: updates on diagnostic evaluation. Curr Urol Rep. 8(4):301-6, 2007
Habermacher GM et al: Prostatitis/chronic pelvic pain syndrome. Annu Rev Med. 57:195-206, 2006
Hua VN et al: Acute and chronic prostatitis. Med Clin North Am. 88(2):483-94, 2004
Shukla-Dave A et al: Chronic prostatitis: MR imaging and 1H MR spectroscopic imaging findings--initial observations. Radiology. 231(3):717-24, 2004
Gurunadha Rao Tunuguntla HS et al: Management of prostatitis. Prostate Cancer Prostatic Dis. 5(3):172-9, 2002
Engelhard K et al: Combination of signal intensity measurements of lesions in the peripheral zone of prostate with MRI and serum PSA level for differentiating benign disease from prostate cancer. Eur Radiol. 10(12):1947-53, 2000
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