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April 7, 1956


JAMA. 1956;160(14):1257. doi:10.1001/jama.1956.02960490071022

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To the Editor:—  The paper "Chronic Prostatitis—Fact or Fiction?" by O'Shaughnessy, Parrino, and White (J. A. M. A.160: 540 [Feb. 18] 1956) is significant and timely. It parallels my paper (Chronic Prostatitis: A Psychosexual Approach, California Med.82:454 [June] 1955). In my article the opinion was expressed that chronic prostatitis, unaccompanied by signs of active inflammatory disease, is a psychosexual disturbance, not a bacteriological disease. Prostate massage, local therapy, and antibiotic therapy are usually of minimal value; a careful history and evaluation of the background and good social and psychiatric counseling are the only effective and rational means by which this so-called prostatitis is controllable. Most prostatitis is grossly overtreated and certainly greatly overemphasized. A hands-off attitude should be reiterated constantly to the patient, and the benignancy of the condition must be emphasized. However, in addition to treatment aimed at psychiatric factors, gentle prostate massage can be employed

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