Acute and chronic prostatitis discussion. Arnon Krongrad, MD, moderator.
There can be a correlation between inflammation and pain. For example, a urine infection can result in both inflammatory reaction and symptoms, including pain.
A prostate biopsy is not generally used to diagnosed and/or guide the treatment of the symptoms associated with chronic prostatitis/chronic pelvic pain syndrome. A prostate biopsy is generrally used to diagnose and/or guide the treatment of prostate cancer, which is in almost all cases a completely asymptomatic illness at the time of diagnosis.
One should also keep in mind that inflammation is a very, very common finding in prostates, including in prostates of men who have no symptoms at all, e.g. the prostate of men who have them removed for prostate cancer. So the finding of inflammation and/or bacteria and/or viruses in prostate tissue is absolutely not specific for symptoms or for an effective treatment of symptoms.
Leaving theories and academics aside, at issue for any patient suffering from symptoms he wants to get rid of is the answer to this questions: Which treatment will help me to feel better? And the second question: Is there a test that can help me to better understand the possible causes of my symptoms and therefore to guide the their treatment?
It's not clear to me where "neuro muscular theories" fit into the context of either findings of [nonspecific] inflammation and/or the findings of a prostate biopsy. Again: Will these mechanistic theories lead to effective relief from symptoms? If so, where are the supporting data? At the bedside, this is all that really matters.