Prevalence, Incidence Estimation, Risk Factors and Characterization of Chronic Prostatitis/Chronic Pelvic Pain Syndrome in Urological Hospital Outpatients in Italy: Results of a Multicenter Case-Control Observational Study

Bartoletti, Riccardo; Cai, Tommaso; Mondaini, Nicola; Dinelli, Nicola; Pinzi, Novello; Pavone, Carlo; Gontero, Paolo; Gavazzi, Andrea; Giubilei, Gianluca; Prezioso, Domenico; Mazzoli, Sandra; Boddi, Vieri; Naber, Kurt G.

doi:10.1016/j.juro.2007.08.046

Cited by 159 publications

(132 citation statements)

References 15 publications

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“…Urinary symptoms [9,11,[17][18][19][20] Cohort studies report ≥1 LUTS symptom in 39-68% of patients [17,18]. There may also be an association with recurrent UTIs in a minority of patients [19,21] Voiding LUTS (weak stream, straining and hesitancy) Storage LUTS (urgency AE urge incontinence, increased urinary frequency, nocturia and dysuria) Urethral burning during, and independent of, micturition Haematospermia (blood in semen) Recurrent UTI (more applicable to CBP) Sexual dysfunction symptoms [17,[22][23][24][25][26][27][28][29][30] Findings from cohort studies (n = 130-1 800) indicate that total or partial ED is reported by 15-55% of patients with CP/CPPS [22,[31][32][33][34], while the prevalence of overall, self-reported sexual dysfunction is higher at 46-92% [22,23,31,34].…”

Section: Clinical Assessment and Diagnosismentioning

confidence: 99%

“…There may also be an association with recurrent UTIs in a minority of patients [19,21] Voiding LUTS (weak stream, straining and hesitancy) Storage LUTS (urgency AE urge incontinence, increased urinary frequency, nocturia and dysuria) Urethral burning during, and independent of, micturition Haematospermia (blood in semen) Recurrent UTI (more applicable to CBP) Sexual dysfunction symptoms [17,[22][23][24][25][26][27][28][29][30] Findings from cohort studies (n = 130-1 800) indicate that total or partial ED is reported by 15-55% of patients with CP/CPPS [22,[31][32][33][34], while the prevalence of overall, self-reported sexual dysfunction is higher at 46-92% [22,23,31,34]. Correlation studies of sexual dysfunction symptoms with NIH-CPSI scores indicate that patients with CP/CPPS with sexual dysfunction have higher total and QoL scores, suggesting that sexual symptoms can contribute substantially to morbidity [28,[31][32][33]35,36].…”

Section: Clinical Assessment and Diagnosismentioning

confidence: 99%

See 1 more Smart Citation

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

Rees

Abrahams

Doble³

et al. 2015

BJU International

241

193

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ObjectivesTo improve awareness and recognition of chronic bacterial prostatitis (CBP) and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) among non-specialists and patients. To provide guidance to healthcare professionals treating patients with CBP and CP/CPPS, in both non-specialist and specialist settings. To promote efficient referral of care between nonspecialists and specialists and the involvement of the multidisciplinary team (MDT). Patients and MethodsThe guideline population were men with CBP or CP/CPPS (persistent or recurrent symptoms and no other urogenital pathology for ≥3 of the previous 6 months). Consensus recommendations for the guidelines were based on a search to identify literature on the diagnosis and management of CBP and CP/CPPS (published between 1999 and February 2014). A Delphi panel process was used where high-quality, published evidence was lacking. ResultsCBP and CP/CPPS can present with a wide range of clinical manifestations. The four main symptom domains are urogenital pain, lower urinary tract symptoms (LUTSvoiding or storage symptoms), psychological issues and sexual dysfunction. Patients should be managed according to their individual symptom pattern. Options for first-line treatment include antibiotics, a-adrenergic antagonists (if voiding LUTS are present) and simple analgesics. Repeated use of antibiotics, such as quinolones, should be avoided if there is no obvious symptomatic benefit from infection control or cultures do not support an infectious cause. Early use of treatments targeting neuropathic pain and/or referral to specialist services should be considered for patients who do not respond to initial measures. An MDT approach (urologists, pain specialists, nurse specialists, specialist physiotherapists, general practitioners, cognitive behavioural therapists/psychologists, and sexual health specialists) is recommended. Patients should be fully informed about the possible underlying causes and treatment options, including an explanation of the chronic pain cycle. ConclusionChronic prostatitis can present with a wide variety of signs and symptoms. Identification of individual symptom patterns and a symptom-based treatment approach are recommended. Further research is required to evaluate management options for CBP and CP/CPPS.

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Section: Clinical Assessment and Diagnosismentioning

confidence: 99%

Section: Clinical Assessment and Diagnosismentioning

confidence: 99%

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

Rees

Abrahams

Doble³

et al. 2015

BJU International

241

193

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“…Acute and chronic prostatitis, prostatodynia, or chronic pelvic pain syndrome (CPPS) is associated with ED, PE and painful ejaculation (114)(115)(116)(117)(118). This syndrome includes urogenital pain, ejaculatory pain, urinary dysfunction, and sexual dysfunction.…”

Section: Pe and Chronic Prostatitismentioning

confidence: 99%

Pathophysiology of Acquired Premature Ejaculation

Jannini¹,

Lenzi²

2012

Premature Ejaculation

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The second Ad Hoc International Society for Sexual Medicine (ISSM) Committee for the Definition of Premature Ejaculation defined acquired premature ejaculation (PE) as a male sexual dysfunction characterized by a the development of a clinically significant and bothersome reduction in ejaculation latency time in men with previous normal ejaculatory experiences, often to about 3 minutes or less, the inability to delay ejaculation on all or nearly all vaginal penetrations, and the presence of negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy. The literature contains a diverse range of biological and psychological etiological theories. Acquired PE is commonly due to sexual performance anxiety, psychological or relationship problems, erectile dysfunction (ED), and occasionally prostatitis and hyperthyroidism, consistent with the predominant organic etiology of acquired PE, men with this complaint are usually older, have a higher mean BMI and a greater incidence of comorbid disease including hypertension, sexual desire disorder, diabetes mellitus, chronic prostatitis, and ED compared to lifelong, variable and subjective PE.

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“…Mú sculo elevador del ano parte superior o puborrectal Etiología y mecanismos de producció n de la lesió n Se encuentran patrones de tensió n muscular cró nica desde la infancia (abuso sexual 18 , estreñ imiento cró nico 19 , entrenamiento para la danza, estré s, etc. ).…”

Section: Pg Internos Del Suelo Pélvico Su Típico Dolor Referido Y Suunclassified

“…El estilo de vida, la dieta, fumar, las disfunciones sexuales y las alteraciones anoré ctales entre otras situaciones está n ínti-mamente relacionadas con este síndrome. Por tanto, estamos ante un fenó meno mucho má s importante de lo esperado 19 . Un estudio de Krieger del 2004 sobre la clasificació n, epidemiología e implicaciones de la prostatitis cró nica en EEUU, Europa y Asia merece un vistazo pues aclara una serie de puntos oscuros como su frecuencia real, 2-10% de los hombres adultos y que un 15% sufre síntomas de prostatitis en algú n momento de su vida 20 .…”

Section: Epidemiologíaunclassified

Síndrome de dolor miofascial del suelo pélvico: una patología urológica muy frecuente

Itza¹,

Zarza²,

Serra³

et al. 2010

Actas Urol Esp

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Prevalence, Incidence Estimation, Risk Factors and Characterization of Chronic Prostatitis/Chronic Pelvic Pain Syndrome in Urological Hospital Outpatients in Italy: Results of a Multicenter Case-Control Observational Study

Abstract: The prevalence and estimated incidence of chronic prostatitis/chronic pelvic pain syndrome in urological hospital outpatients in Italy are high. The syndrome is closely related to lifestyle, diet, smoking, gastrointestinal or anorectal disease and impaired sexual function.

Cited by 159 publications

References 15 publications

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

Pathophysiology of Acquired Premature Ejaculation

Síndrome de dolor miofascial del suelo pélvico: una patología urológica muy frecuente

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