Equivalency of first-void urine (VB1) culture with prostatic secretion (EPS) fluids

Document Type: Original Article


1 Infectious Disease Research Center, Golestan University of Medical Sciences, Gorgan,Iran

2 Tehran University of Medical Sciences

3 Department of genetics and molecular medicine, Faculty of Medicine, Zanjan University of Medical

4 Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran



Urinary Tract Infections are considered as one of the important cause of kidney failure and prostatitis. Therefore, factors causing bacterial prostatitis infections are especially important. This disease is diagnosed with the frequent recurrence of the bladder infection and it is resistant to treatment. One the fundamental problems of the chronic bacterial prostatitis is the presence of the microorganisms which grow after 72 hours and since in most cases the main cause of the disease is unknown, it will lead to pyelonephritis and kidney failure. In order to diagnose prostatitis usually prostate massage is used. However, since this technique is difficult for the patient, deploying a method for sampling and diagnosis would have an important role in timely treatment and preventing complications from delayed treatment. This study has investigated the separation of the bacterial factors of men’s Urinary Tract Infections using prostate massage and comparing them with the samples collected from three parts of the urinary tract in Tehran’s Health Centers. In conclusion, the results obtained from the prostate secretions culture were more accurate and precise than VB1 culture, but they were close to each other. Therefore, instead of using prostate massage which can be irritating for the patients or in cases were patient does not have prostate secretions, VB1 culture can be used.