DOI: https://doi.org/10.30841/2307-5090.2.2018.149538

Sexual disorders in men with chronic prostatitis/pelvic pain and lower urinary tract symptoms

О. С. Федорук, В. І. Зайцев, М. С. Степанченко, І. І. Ілюк

Abstract


Prostatic Pain Syndrome (SPB) is characterized as persistent or recurrent episodic pain associated with negative cognitive, behavioral, sexual or emotional effects, as well as symptoms of lower urinary tract and sexual dysfunction.

The objective: evaluation of sexual disorders differences in patients with chronic non-bacterial prostatitis/pelvic pain (CNP) and men with lower urinary tract symptoms.

Materials and methods. 80 patients were examined (outpatient setting): 47 with CNP and a control group of 33 men with benign prostatic hyperplasia (BPH). The evaluation of prostate-specific symptoms was performed using I-PSS and NIH-CPSI questionnaires. Sexual disorders evaluated by IIEF questionnaire. The reliability of group differences for entities subject to normal distribution was estimated using Student’s criterion.

Results. The I-PSS average score was significantly higher in the BPH group. The NIH-CPSI average score was significantly higher in the main group. Erectile dysfunction was detected in 29.8% of patients with CNP and in 72,7% of patients with BPH. Ejaculation disorders were reported by over 80% of the examined patients, no significant difference between groups found. Only 12.8% of CNP patients reported satisfactory libido (57.6% in BPH group). Overall sexual satisfaction was similar between the groups: 10.6% versus 42.4% of respondents respectively.

Conclusions. Chronic non-bacterial prostatitis, regardless of type, was associated with significantly more severe disorders. Additional studies need to be planned to found the reasons for that discrepancies.

Keywords


chronic non-bacterial prostatitis; benign prostatic hyperplasia; chronic pelvic pain; erectile dysfunction

References


Fall M, Baranowski AP, Fowler CJ, Lepinard V, Malone-Lee JG, Messelink EJ, et al. EAU guidelines on chronic pelvic pain. Eur Urol. 2004;46:681–9. https://doi.org/10.1016/j.eururo.2004.07.030

Merskey H, Bogduk N. Classification of Chronic Pain. Seattle: IASP Press; 1994.

Krieger JN, Nyberg LJr, Nickel JC. NIH consensus definition and classification of prostatitis. JAMA. 1999;282:236–237.

Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10:287–333. https://doi.org/10.1016/j.ejpain.2005.06.009

Barry MJ, Link CL, McNaughton-Collins MF, McKinlay JB. Overlap of different urological symptom complexes in a racially and ethnically diverse, community based population of men and women. BJU Int. 2007;101:45–51. https://doi.org/10.1111/j.1464-410X.2007.07191.x

Krieger JN, Lee SW, Jeon J, et al. Epidemiology of prostatitis. Int J Antimicrob Agents. 2008;31(Suppl1):S85–90. https://doi.org/10.1016/j.ijantimicag.2007.08.028

Linley JE, Rose K, Ooi L, Gamper N. Understanding inflammatory pain: ion channels contributing to acute and chronic nociception. Pflugers Arch. 2010;459:657–69. https://doi.org/10.1007/s00424-010-0784-6

Chung SD, Lin HC. Association between chronic prostatitis/chronic pelvic pain syndrome and anxiety disorder: a population-based study. PLoS ONE [Electronic Resource]. 2013;8(5):e64630. https://doi.org/10.1371/journal.pone.0064630

Nickel JC, Shoskes D, Wang Y, Alexander RB, Fowle JEJr, Zeitlin S, et al. How does the pre-massage and post-massage 2-glass test compare to the Meares-Stamey 4-glass test in men with chronic prostatitis/chronic pelvic pain syndrome? J Urol. 2006;176:119–24. https://doi.org/10.1016/S0022-5347(06)00498-8

Gerlinger C, Schumacher U, Faustmann T, Colligs A, Schmitz H, Seitz C. Defining a minimal clinically important difference for endometriosis-associated pelvic pain measured on a visual analog scale: analyses of two placebo-controlled, randomized trials. Health Qual Life Outcomes. 2010;8:138. https://doi.org/10.1186/1477-7525-8-138

Mebust W. Symptom evaluation, quality of life and sexuality. 2nd Consultation on Benign Prostatic Hyperplasia (BPH); 1993; Jersey, Channel Islands; 1979.

Litwin MS, McNaughton-Collins M, Fowler FJ.Jr, Nickel JC, Calhoun EA, Pontari MA, et al. The National Institutes of Health chronic prostatitis symptom index: development and validation of a new outcome measure. Chronic Prostatitis Collaborative Research Network. J Urol. 1999;162:369–75. https://doi.org/10.1016/S0022-5347(05)68562-X

Rosen R, Riley A, Wagner G, et al. The International Index of Erectile Function (IIEF): A multidimensional scale for assessment of erectile dysfunction. Urology. 1997; 49:822–830. https://doi.org/10.1016/S0090-4295(97)00238-0




Copyright (c) 2020 О. С. Федорук, В. І. Зайцев, М. С. Степанченко, І. І. Ілюк

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

ISSN 2412-5547 (Online), ISSN 2307-5090 (Print)