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Prevalence of Prostatitis-Like Symptoms in a Community Based Cohort of Older Men

2002; Lippincott Williams & Wilkins; Volume: 168; Issue: 6 Linguagem: Inglês

10.1016/s0022-5347(05)64170-5

1527-3792

Rosebud O. Roberts, Debra J. Jacobson, Cynthia J. Girman, Thomas Rhodes, Michael M. Lieber, Steven J. Jacobsen,

Pelvic floor disorders treatments

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Dec 2002Prevalence of Prostatitis-Like Symptoms in a Community Based Cohort of Older Men ROSEBUD O. ROBERTS, DEBRA J. JACOBSON, CYNTHIA J. GIRMAN, THOMAS RHODES, MICHAEL M. LIEBER, and STEVEN J. JACOBSEN ROSEBUD O. ROBERTSROSEBUD O. ROBERTS , DEBRA J. JACOBSONDEBRA J. JACOBSON , CYNTHIA J. GIRMANCYNTHIA J. GIRMAN , THOMAS RHODESTHOMAS RHODES , MICHAEL M. LIEBERMICHAEL M. LIEBER , and STEVEN J. JACOBSENSTEVEN J. JACOBSEN View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64170-5AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We describe a community based study to estimate the prevalence of prostatitis-like symptoms using questions similar to the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI). Materials and Methods: Study subjects were a randomly selected sample of Olmsted County, Minnesota white men 40 to 79 years old in January 1990 who participated in a longitudinal study of lower urinary tract symptoms. Subjects were evaluated biennially using self-administered questionnaires. In 2000 questions similar to the NIH-CPSI were incorporated into the questionnaire and questionnaire responses were used to categorize men as having prostatitis-like symptoms. Results: Of 1,541 men 182 (12%) had at least 1 urogenital pain symptom. Pubic (76 men, 4.9%) and testicular (73, 4.7%) pain were the most frequent pain symptoms. A total of 34 men with prostatitis-like symptoms (2.2%) had higher mean pain (6.7 versus 0.5), urinary symptom (3.5 versus 2.1) and quality of life impact (3.7 versus 1.9) scores compared to men who did not (all p <0.001). Pain frequency (OR 39.2, 95% CI 18.8, 81.9) and pain intensity (OR 21.5, 95% CI 8.7, 52.9) were more strongly associated with prostatitis-like symptoms than urinary symptom score (OR 2.8, 95% CI 1.4, 5.6) or quality of life impact score (OR 4.5, 95% CI 1.9, 10.7). Conclusions: Although urogenital pain is common among community dwelling men, prostatitis-like symptoms based on the modified questions from the NIH-CPSI are less common. While pain measures may be useful in distinguishing between men with and without prostatitis-like symptoms, the urinary symptom and quality of life impact scores could partly reflect benign prostatic hyperplasia. References 1 : Chronic pelvic pains represent the most prominent urogenital symptoms of “chronic prostatitis.”. Urology1996; 48: 715. Crossref, Medline, Google Scholar 2 : Distinguishing chronic prostatitis and benign prostatic hyperplasia symptoms: results of a national survey of physician visits. Urology1999; 53: 921. 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Birk H, van der Horst C, Jünemann K, Weidner W, Ludwig M, Schneider T, Sperling H, Lümmen G and Rübben H (2004) Niere und Harnwege Männersprechstunde, 10.1007/978-3-642-18705-6_4, (197-225), . Rizzo M, Marchetti F, Travaglini F, Trinchieri A and Nickel J (2003) Prevalence, diagnosis and treatment of prostatitis in Italy: a prospective urology outpatient practice studyBJU International, 10.1111/j.1464-410X.2003.04520.x, VOL. 92, NO. 9, (955-959), Online publication date: 1-Dec-2003. Pontari M (2003) Chronic Prostatitis/Chronic Pelvic Pain Syndrome in Elderly MenDrugs & Aging, 10.2165/00002512-200320150-00004, VOL. 20, NO. 15, (1111-1125), . Volume 168Issue 6December 2002Page: 2467-2471 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsprostatitis, pain, signs and symptoms, epidemiologycohort studiesMetrics Author Information ROSEBUD O. ROBERTS Requests for reprints: Department of Health Sciences Research, Mayo Clinic, 200 First St. S.W., Rochester, Minnesota 55905. More articles by this author DEBRA J. JACOBSON More articles by this author CYNTHIA J. GIRMAN Financial interest and/or other relationship with Merck & Co., Inc. More articles by this author THOMAS RHODES Financial interest and/or other relationship with Merck & Co., Inc. More articles by this author MICHAEL M. LIEBER Financial interest and/or other relationship with GSK and Abbott. More articles by this author STEVEN J. JACOBSEN More articles by this author Expand All Advertisement PDF downloadLoading ...