Sexual dysfunction in chronic prostatitis/chronic pelvic pain syndrome

Tran, Christine; Shoskes, Daniel A.

doi:10.1007/s00345-013-1076-5

Cited by 69 publications

(60 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These are patients with chronic pelvic pain in whom SD has been studied extensively [7,8]. Yet, published literature on patients with other forms of chronic pain points to high prevalence of SD [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Sexual Dysfunction in Patients with Chronic Pain

Gruenwald¹

2017

UNOAJ

View full text Add to dashboard Cite

Objective: Restricted normal activities associated with chronic pain are well documented. In contrast, there is a paucity of reports regarding the association between chronic pain patients and their sexual function. The aim of the present "snapshot" study was to evaluate the prevalence and severity of sexual dysfunction (SD) in a cohort of patients suffering from chronic pain.Methods: 709 patients with chronic pain completed questionnaires assessing demographics, pain-intensity, disability and severity of their SD. A subgroup also completed questionnaires relating to depression and anxiety as well as specific gender-related SD questionnaires.Results: 404 patients (58%) reported pain related SD. No differences in demographic parameters were found between those with and without SD. In contrast, patients with SD exhibited significantly higher scores in pain intensity (VAS), Short-form McGill Pain questionnaire and the Oswestry Disability Index. Patients with SD also consumed significantly higher doses of pain medications. On both numerical and categorical self-report scales of SD severity, women scored slightly but significantly higher than men. A significant correlation was found between pain intensity and SD severity (Pearson's test: r=0.349; p<0.001). The questionnaires completed by a sub-group of patients with SD revealed a mild degree of depression, a moderate anxiety level and a moderate degree of SD in both genders. Conclusion:A significant number of patients with chronic pain suffer from moderate to severe SD, which correlates with pain intensity. These findings are congruent with previous reports and highlight the importance of increased awareness to SD in patients with chronic pain.

show abstract

Section: Introductionmentioning

confidence: 99%

Sexual Dysfunction in Patients with Chronic Pain

Gruenwald¹

2017

UNOAJ

View full text Add to dashboard Cite

show abstract

“…Previously, we reported that patients with male accessory gland infection (MAGI) have a high frequency of sexual dysfunction, detectable through the application of a dedicated questionnaire (SI-MAGI = structured interview about MAGI) and PE represents one of these dysfunctions 2. Usually in the literature, it has been reported the association between APE and chronic P (prostatitis),3 however, the P represents only one of the three diagnostic categories of MAGI: P (prostatitis), PV (prostato- vesiculitis), PVE (prostato-vesciculo-epididymitis) 4. A low number of evidences concerning the frequency of PE in patients with epididymitis5 and chronic vesiculitis,2 this aspect appears in contrast with some important physiological aspects, such as: the contractile function of the epididymis6 and the role of the seminal vesicles in the production of the seminal plasma 7.…”

Section: Introductionmentioning

confidence: 99%

Acquired premature ejaculation and male accessory gland infection: relevance of ultrasound examination

et al. 2016

View full text Add to dashboard Cite

We have previously demonstrated a high frequency of premature ejaculation (PE) among patients with male accessory gland infection (MAGI). The aim of this study was to evaluate the ultrasound (US) features of patients with MAGI and acquired premature ejaculation (APE) associated (MAGI-APEpos). US evaluation of 50 MAGI-APEpos patients compared to 50 patients with MAGI without PE (MAGI-PEneg) which represent the control group. The diagnosis of APE was made through the evaluation of Intravaginal ejaculation latency time (IELT) and confirmed with the questionnaire PEDT (Premature Ejaculation Diagnostic Tool). The main outcome measure was represented by the frequency of US criteria suggestive of P (prostatitis), V (vesiculitis), and E (epididymitis) in MAGI-APEpos and MAGI-PEneg patients. MAGI-APEpos patients showed a total number of US criteria significantly higher compared to MAGI-PEneg patients. MAGI-APEpos showed a higher frequency of US criteria of V and E (complicated forms of MAGI). Finally, in MAGI-APEpos group, it was found a positive relationship between the anteroposterior diameter (APD) of the caudal tract of the epididymis and the APD of the seminal vesicles, as well as between both diameters and the PEDT score. MAGI-APEpos patients have a peculiar US characterization compared to MAGI-PEneg patients. According to these results, US evaluation of the epididymal and of the prostato vesicular tract should be considered in the practical clinical approach of patients with MAGI and APE. In particular, it could be a support for a possible pathophysiological interpretation of this clinical problem in these patients.

show abstract

“…To which extent these comorbidities play a role in Acquired PE patient's vs Lifelong PE, which is strongly thought to be a neurobiological disorder, is not clear. A higher prevalence of depression or personal distress and lower quality of life was also found in men with PE in previous studies [3,[24][25][26][27][28]. Our study has some limitations.…”

Section: Discussionmentioning

confidence: 49%