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Rating: 
Summary: Best desk reference for MDs & Patients Available in 2002
Review: Although I think that some parts of this book will be revised in the next few years as new research results in more knowledge, this book is without question the best reference for physician and interested patient available in the world today (mid-2002). For more comment, I quote Dr D. A. Shoskes, who wrote the book's Foreword:"Chronic prostatitis has been a backwater of clinical and basic science urology research over the past few decades. Most physicians have a vague feeling that these patients have a chronic infection even though cultures are seldom positive (if they are even performed) and many patients get no improvement despite kilograms of antibiotics over months or years. It's not as though academic researchers have given much guidance to practitioners; amazingly there are only a handful of small randomized placebo-controlled studies for therapy in chronic prostatitis, the vast majority being for documented bacterial prostatitis, which makes up fewer than 10% of those patients we see in practice. Over the past two decades, Dr. Nickel has devoted his prodigious talent and energy towards understanding this disease and testing novel therapies. Thanks to him and like-minded researchers, there is a greater understanding of the heterogeneity of the condition we now call 'chronic pelvic pain syndrome' and new rational therapeutic options which can be effective for the majority of patients. In this handbook, the first of its kind for chronic prostatitis, Dr. Nickel succinctly summarizes the current understanding of the pathophysiology, evaluation and treatment options available for these patients. Particularly illuminating is the history lesson, which demonstrates in sobering detail how little progress has been made until most recently. This guide presents a clear stepwise approach to the management of these challenging patients in clinical practice. For the student and resident it summarizes all the didactic and clinical information they need to know. For the experienced clinician, it can provide a roadmap to novel therapies to assist in the management of their most difficult patients who are refractory to conventional treatments. Daniel Shoskes MD
Cleveland Clinic - Florida"
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