| Abstract | OBJECTIVES: To evaluate how age and the duration of the condition influence the distress caused by the chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and to study how heat and cold influence the symptoms associated with CP/ CPPS as reported by patients afflicted with the condition. MATERIAL AND METHODS: Forty-eight men (median age 50 years; age range 27-70 years) who had suffered from CP/CPPS for a duration ranging from 18 months to 40 years were included in the study. The evaluation included determination of the serum prostate-specific antigen level, the National Institutes of Health's Chronic Prostatitis Symptom Index (NIH-CPSI) and the International Prostate Symptom Score (IPSS). RESULTS: The mean NIH-CPSI score was 23.0 +/- 4.8. The mean IPSS was 14.3 +/- 7.2. Dysuria was reported by 30 men (63%) and ejaculatory pain by 22 (48%). Men with dysuria had painful ejaculations more often (60%) than men without (22%) (p <0.01). There was a strong negative correlation between age and the NIH-CPSI quality of life (QOL) score (correlation coefficient 0.646; p < 0.001). Independent of age, the duration of the disease also correlated with the NIH-CPSI QOL score (correlation coefficient -0.48; p < 0.02). The total NIH-CPSI score did not correlate with either age or the duration of the disease. Nearly every other man stated that the disease had started in association with a specific event, which for 15 men (31%) included exposure to cold. Forty men (83%) reported that cold caused symptom aggravation and/or induced a relapse. Thirty men (63%) stated that taking a hot bath and 22 (46%) reported that spending time in a hot climate decreased the symptoms. CONCLUSIONS: Age, as well as the duration of the condition, influenced the distress induced by CP/CPPS, suggesting an improved coping ability with time as well as age. The ambient temperature appears to play a role as cold was frequently reported as causing symptom aggravation and heat was often reported to be ameliorating. The mechanisms behind this association between CP/CPPS and temperature as well as the correlation between ejaculatory pain and dysuria require further study. |
| Authors | Hans Hedelin, Karin Jonsson
(Affiliation: Research and Development Centre and the Department of Urology, Kärnsjukhuset, Skövde, Sweden. hans.hedelin at vgregion.se)
|
| Journal | Scandinavian journal of urology and nephrology
(Scand J Urol Nephrol)
Vol. 41
Issue 6
Pg. 516-20
( 2007)
ISSN: 0036-5599 Sweden |
| PMID | 17853027
(Publication Type: Journal Article)
|
| Topics |
- Adult
- Age Factors
- Aged
- Baths
- Chronic Disease
- Climatotherapy
- Cold
(adverse effects)
- Cross-Sectional Studies
- Dysuria
(etiology, physiopathology, therapy)
- Ejaculation
(physiology)
- Health Surveys
- Humans
- Male
- Middle Aged
- Multivariate Analysis
- Pain Measurement
- Pelvic Pain
(etiology, physiopathology, therapy)
- Prostate
(blood supply)
- Prostatitis
(etiology, physiopathology, therapy)
- Quality of Life
- Time Factors
- Vasoconstriction
(physiology)
|
