Abstract
Recently, a group of out-patients are being observed in our urological department who complain strongly, repetively, or for a prolonged period of subjective symptoms which do not correspond to the results of urological examinations (such as pain, unpleasant feeling, or hot feeling in or around sexual organ). Therefore, thenecessity of psychosomatic treatment for these symptoms is being recognized.However, in our country, only a few papers have been reported on this problem. Under the cooperation of our psychiatric department and urological department, a new division was established in our urological department, where psychosomatic diagnosis and treatment are given to out-patients. Our present report is concerned with the results obtained in the course of diagnosis at this new division.The subjects consisted of 1) those who were found negative in bacteriological and incubation tests of urine after prostrate massage; 2) those who were found positive in bacteriological test but whose subjective complaints did not correspond to our objective findings; and 3) those who had stronger push-pain in prostrate at manual examination. All of these patients also had the above-mentioned subjective symptoms. These cases were diagnosed as "chronic prostatitis".We also examined for comparison a group of patients with "chronic prostatitis" for whom psychosomatic care was not necessary. The subjects were 24 males in total, whose ages varied from 20 to 76(average : 41 years-old). The number of subjects in each age group was as follows : age 20-29-8; age 30-39-7; 40-49-none; age 50-59-5; age 60-76-4.The time required from the subjects' first visit to the commencement of psychosomatic diagnosis and the number of patients involved are as follows : less than 1 year-7; more than 1 year and less than 2 years-9; more then 2 and less than 3 years-4; 4 to 8 years-4. the results of diagnosis and the number of subjects were as follows : 1) Group of Neurosis : 10 (41.6%)a) Subjects with neurotic symptoms characterized by conflict concerning masculine identity 6-(25%)b) Subjects whose neurotic conflicts were inherent, but not clinically observed and social adaptation was easy-2 (8%)c) Subjects with iatrogenic neurosis with anxiety, or hypochondriac symptoms-2 (8%)2) Subjects with psychosomatic symptoms in a narrow sense-8 (34%)3) Subjects whose psychological factors are typical to the old age-4 (17%)4) Subjects in whom no particular psychological problem was observed-2 (8%)
