{'fraction_non_alphanumeric': 0.02397525135344161, 'fraction_numerical': 0.013921113689095127, 'mean_word_length': 4.908675799086758, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Radical prostatectomy for chronic prostatitis

A 52-year-old man presented with a 25-year history of prostatitis symptoms; his principal symptom was perineal pain but he also complained of low back and testicular pain. He had received a variety of antimicrobial agents and had undergone TURP twice, the first time 19 years and the second 2 years before presentation. None of these treatments had improved his symptoms. On DRE the prostate was small and nodular; expressed prostatic secretions contained 50 leukocytes per high-power field. His PSA level was 0.9 ng/mL. Formal localization cultures of expressed prostatic fluid and segmented urine samples showed no uropathogens. Because of his abnormal DRE, TRUS-guided biopsies of the prostate were taken, which showed a single microscopic focus of Gleason 4 adenocarcinoma in one core of an 8-mL prostate. He elected to undergo radical prostatectomy; at operation there was significant scarring and attachment of the very small gland posteriorly. His final pathology revealed organ-confined, multifocal Gleason 5 adenocarcinoma. One year after surgery he is continent, potent and able to achieve orgasm. His symptoms of chronic pelvic pain have disappeared. His NIH-Chronic Prostatitis Symptom Index at 1 year after surgery was 0/21 for pain.