MODERN APPROACHES TO THE DIAGNOSIS AND TREATMENT OF CHRONIC PROSTATITIS: A CLINICAL AND LABORATORY ANALYSIS

Chronic prostatitis, particularly chronic pelvic pain syndrome (CP/CPPS), remains a significant diagnostic and therapeutic challenge in clinical urology. It is a multifactorial syndrome with overlapping inflammatory, infectious, neurogenic, autoimmune, and psychosocial components. The purpose of this study is to provide a comprehensive clinical and laboratory evaluation of chronic prostatitis, focusing on modern diagnostic protocols and treatment approaches. The study included clinical data from 80 patients with symptoms lasting longer than three months, and combined both traditional and innovative diagnostics, such as PCR-based pathogen identification, EPS analysis, and transrectal ultrasound. The results show that a personalized, phenotype-based approach, especially using the UPOINT classification, enhances therapeutic outcomes. Antibiotics remain effective in selected cases, but alpha-blockers, physiotherapy, and anti-inflammatory agents also play vital roles. The study highlights the importance of interdisciplinary collaboration and long-term patient monitoring.