Sexual dysfunction in type III chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) observed in Turkish patients

Aim Chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) is a common disabling condition that is primarily associated with pain in the urogenital region and disturbances in urinary and sexual function. Chronic pelvic pain symptoms are the most common presentation, especially perineal, lo...

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Veröffentlicht in:International urology and nephrology 2011-06, Vol.43 (2), p.309-314
Hauptverfasser: Sönmez, N. C., Kiremit, M. C., Güney, S., Arisan, S., Akça, O., Dalkılıç, A.
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container_end_page 314
container_issue 2
container_start_page 309
container_title International urology and nephrology
container_volume 43
creator Sönmez, N. C.
Kiremit, M. C.
Güney, S.
Arisan, S.
Akça, O.
Dalkılıç, A.
description Aim Chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) is a common disabling condition that is primarily associated with pain in the urogenital region and disturbances in urinary and sexual function. Chronic pelvic pain symptoms are the most common presentation, especially perineal, lower abdominal, testicular, penile as well as ejaculatory pain. Other genitourinary tract complaints include voiding disorders and sexual dysfunction. We aimed in the study at examining the prevalence rates of premature ejaculation and erectile dysfunction in patients with chronic pelvic pain syndrome and comparing these rates with those of healthy control subjects. Materials and methods Between November 2006 and January 2008, 85 patients with the diagnosis of CP/CPPS were chosen for the study; 30 patients without regular sexual activity and 12 patients without inclusion criteria were excluded from the study. A total of 43 patients were included in the study. Twenty healthy volunteers without prostatitis-like syndromes were used as a control group. The sexual function of the patients and the healthy volunteers were evaluated using Arizona Sexual Function Questionary Form and International Index of Erectile Function (IIEF). Erectile dysfunction (ED), ejaculatio precox (EP) and pain on ejaculation (PEP) were investigated as sexual dysfunction. Results The mean age of the patients was 33.7 (22–48) years; the mean symptom period was 37.7 (6–120) months, while the mean age of the control group was 32.4 (24–48) years. The mean NIH-CPSI score of the patient group was 26.1 (16–34). Patient group was classified as CPPS type IIIa and CPPS type IIIb. Mild and moderate erectile dysfunction (ED) was found in [ 9 ] 23.2% patients at the patient group and [ 2 ] 10% at the control group ( P : 0.185). Severe erectile dysfunction was not found in both groups. Ejaculatio Precox (EP) was found at (29) 67.4% of the patient group and [ 7 ] 40% of the control group. Pain on ejaculation (PEP) was detected in [ 15 ] 37.2% of the patient group, while none of the control group had pain on ejaculation. More than one sexual dysfunction was found in [ 17 ] 41.8% of the patient group and none of the control group. Comparing patient group versus control group, ejaculation disorders (EP and PEP) and more than one sexual dysfunction disorder were statistically significant. According to ED, there is no statistical difference between the groups ( P  > 0.05). Conclusion Sexual function disorders, es
doi_str_mv 10.1007/s11255-010-9809-5
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C. ; Kiremit, M. C. ; Güney, S. ; Arisan, S. ; Akça, O. ; Dalkılıç, A.</creator><creatorcontrib>Sönmez, N. C. ; Kiremit, M. C. ; Güney, S. ; Arisan, S. ; Akça, O. ; Dalkılıç, A.</creatorcontrib><description>Aim Chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) is a common disabling condition that is primarily associated with pain in the urogenital region and disturbances in urinary and sexual function. Chronic pelvic pain symptoms are the most common presentation, especially perineal, lower abdominal, testicular, penile as well as ejaculatory pain. Other genitourinary tract complaints include voiding disorders and sexual dysfunction. We aimed in the study at examining the prevalence rates of premature ejaculation and erectile dysfunction in patients with chronic pelvic pain syndrome and comparing these rates with those of healthy control subjects. Materials and methods Between November 2006 and January 2008, 85 patients with the diagnosis of CP/CPPS were chosen for the study; 30 patients without regular sexual activity and 12 patients without inclusion criteria were excluded from the study. A total of 43 patients were included in the study. Twenty healthy volunteers without prostatitis-like syndromes were used as a control group. The sexual function of the patients and the healthy volunteers were evaluated using Arizona Sexual Function Questionary Form and International Index of Erectile Function (IIEF). Erectile dysfunction (ED), ejaculatio precox (EP) and pain on ejaculation (PEP) were investigated as sexual dysfunction. Results The mean age of the patients was 33.7 (22–48) years; the mean symptom period was 37.7 (6–120) months, while the mean age of the control group was 32.4 (24–48) years. The mean NIH-CPSI score of the patient group was 26.1 (16–34). Patient group was classified as CPPS type IIIa and CPPS type IIIb. Mild and moderate erectile dysfunction (ED) was found in [ 9 ] 23.2% patients at the patient group and [ 2 ] 10% at the control group ( P : 0.185). Severe erectile dysfunction was not found in both groups. Ejaculatio Precox (EP) was found at (29) 67.4% of the patient group and [ 7 ] 40% of the control group. Pain on ejaculation (PEP) was detected in [ 15 ] 37.2% of the patient group, while none of the control group had pain on ejaculation. More than one sexual dysfunction was found in [ 17 ] 41.8% of the patient group and none of the control group. Comparing patient group versus control group, ejaculation disorders (EP and PEP) and more than one sexual dysfunction disorder were statistically significant. According to ED, there is no statistical difference between the groups ( P  &gt; 0.05). Conclusion Sexual function disorders, especially ejaculation disorders (EP and PEP), are frequently seen in CP/CPPS patients versus normal population. Age, symptoms period, symptom score and CP/CPPS subgroups are not risk factors for sexual function disorders. Patients with the diagnosis of CP/CPPS should be evaluated for sexual function disorders.</description><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-010-9809-5</identifier><identifier>PMID: 20680450</identifier><identifier>CODEN: IURNAE</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adult ; Ejaculation ; Erectile Dysfunction - etiology ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nephrology ; Prevalence ; Prostatitis - classification ; Prostatitis - complications ; Severity of Illness Index ; Sexual Dysfunction, Physiological - epidemiology ; Sexual Dysfunction, Physiological - etiology ; Turkey ; Urology ; Urology – Original Paper ; Young Adult</subject><ispartof>International urology and nephrology, 2011-06, Vol.43 (2), p.309-314</ispartof><rights>Springer Science+Business Media, B.V. 2010</rights><rights>Springer Science+Business Media, B.V. 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-8065cfec9a6547b7fe36be09754abf42a672f6ec502a4091ebb69834b03166993</citedby><cites>FETCH-LOGICAL-c370t-8065cfec9a6547b7fe36be09754abf42a672f6ec502a4091ebb69834b03166993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11255-010-9809-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11255-010-9809-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20680450$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sönmez, N. C.</creatorcontrib><creatorcontrib>Kiremit, M. C.</creatorcontrib><creatorcontrib>Güney, S.</creatorcontrib><creatorcontrib>Arisan, S.</creatorcontrib><creatorcontrib>Akça, O.</creatorcontrib><creatorcontrib>Dalkılıç, A.</creatorcontrib><title>Sexual dysfunction in type III chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) observed in Turkish patients</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><addtitle>Int Urol Nephrol</addtitle><description>Aim Chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) is a common disabling condition that is primarily associated with pain in the urogenital region and disturbances in urinary and sexual function. Chronic pelvic pain symptoms are the most common presentation, especially perineal, lower abdominal, testicular, penile as well as ejaculatory pain. Other genitourinary tract complaints include voiding disorders and sexual dysfunction. We aimed in the study at examining the prevalence rates of premature ejaculation and erectile dysfunction in patients with chronic pelvic pain syndrome and comparing these rates with those of healthy control subjects. Materials and methods Between November 2006 and January 2008, 85 patients with the diagnosis of CP/CPPS were chosen for the study; 30 patients without regular sexual activity and 12 patients without inclusion criteria were excluded from the study. A total of 43 patients were included in the study. Twenty healthy volunteers without prostatitis-like syndromes were used as a control group. The sexual function of the patients and the healthy volunteers were evaluated using Arizona Sexual Function Questionary Form and International Index of Erectile Function (IIEF). Erectile dysfunction (ED), ejaculatio precox (EP) and pain on ejaculation (PEP) were investigated as sexual dysfunction. Results The mean age of the patients was 33.7 (22–48) years; the mean symptom period was 37.7 (6–120) months, while the mean age of the control group was 32.4 (24–48) years. The mean NIH-CPSI score of the patient group was 26.1 (16–34). Patient group was classified as CPPS type IIIa and CPPS type IIIb. Mild and moderate erectile dysfunction (ED) was found in [ 9 ] 23.2% patients at the patient group and [ 2 ] 10% at the control group ( P : 0.185). Severe erectile dysfunction was not found in both groups. Ejaculatio Precox (EP) was found at (29) 67.4% of the patient group and [ 7 ] 40% of the control group. Pain on ejaculation (PEP) was detected in [ 15 ] 37.2% of the patient group, while none of the control group had pain on ejaculation. More than one sexual dysfunction was found in [ 17 ] 41.8% of the patient group and none of the control group. Comparing patient group versus control group, ejaculation disorders (EP and PEP) and more than one sexual dysfunction disorder were statistically significant. According to ED, there is no statistical difference between the groups ( P  &gt; 0.05). Conclusion Sexual function disorders, especially ejaculation disorders (EP and PEP), are frequently seen in CP/CPPS patients versus normal population. Age, symptoms period, symptom score and CP/CPPS subgroups are not risk factors for sexual function disorders. Patients with the diagnosis of CP/CPPS should be evaluated for sexual function disorders.</description><subject>Adult</subject><subject>Ejaculation</subject><subject>Erectile Dysfunction - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Prevalence</subject><subject>Prostatitis - classification</subject><subject>Prostatitis - complications</subject><subject>Severity of Illness Index</subject><subject>Sexual Dysfunction, Physiological - epidemiology</subject><subject>Sexual Dysfunction, Physiological - etiology</subject><subject>Turkey</subject><subject>Urology</subject><subject>Urology – Original Paper</subject><subject>Young Adult</subject><issn>0301-1623</issn><issn>1573-2584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUtv1DAURi1ERYfCD2CDLDbQRcp1_EqW1YjHSJVaqWVtOc4Ndck4g-1UjMSPx9EUKlVidRf3fJ8fh5A3DM4YgP6YGKulrIBB1TbQVvIZWTGpeVXLRjwnK-DAKqZqfkxepnQHAAWDF-S4BtWAkLAiv6_x12xH2u_TMAeX_RSoDzTvd0g3mw11t3EK3tFdnFK22Wef6If11Sm1oX9c4ni_DFuSaR_6OG1xoa6uT-nUJYz32C-tN3P84dNtAbPHkNMrcjTYMeHrh3lCvn3-dLP-Wl1cftmszy8qxzXkqgEl3YCutUoK3ekBueoQWi2F7QZRW6XrQaGTUFsBLcOuU23DRQecKdW2_IS8P_SWV_ycMWWz9cnhONqA05xMozSvGdOikO-ekHfTHEO5XIGU0I1UrEDsALnyKSniYHbRb23cGwZmEWMOYkwRYxYxRpbM24fiudti_y_x10QB6gOQyip8x_h48v9b_wAZ25gI</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Sönmez, N. 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C.</creatorcontrib><creatorcontrib>Kiremit, M. 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C.</au><au>Kiremit, M. C.</au><au>Güney, S.</au><au>Arisan, S.</au><au>Akça, O.</au><au>Dalkılıç, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sexual dysfunction in type III chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) observed in Turkish patients</atitle><jtitle>International urology and nephrology</jtitle><stitle>Int Urol Nephrol</stitle><addtitle>Int Urol Nephrol</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>43</volume><issue>2</issue><spage>309</spage><epage>314</epage><pages>309-314</pages><issn>0301-1623</issn><eissn>1573-2584</eissn><coden>IURNAE</coden><abstract>Aim Chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) is a common disabling condition that is primarily associated with pain in the urogenital region and disturbances in urinary and sexual function. Chronic pelvic pain symptoms are the most common presentation, especially perineal, lower abdominal, testicular, penile as well as ejaculatory pain. Other genitourinary tract complaints include voiding disorders and sexual dysfunction. We aimed in the study at examining the prevalence rates of premature ejaculation and erectile dysfunction in patients with chronic pelvic pain syndrome and comparing these rates with those of healthy control subjects. Materials and methods Between November 2006 and January 2008, 85 patients with the diagnosis of CP/CPPS were chosen for the study; 30 patients without regular sexual activity and 12 patients without inclusion criteria were excluded from the study. A total of 43 patients were included in the study. Twenty healthy volunteers without prostatitis-like syndromes were used as a control group. The sexual function of the patients and the healthy volunteers were evaluated using Arizona Sexual Function Questionary Form and International Index of Erectile Function (IIEF). Erectile dysfunction (ED), ejaculatio precox (EP) and pain on ejaculation (PEP) were investigated as sexual dysfunction. Results The mean age of the patients was 33.7 (22–48) years; the mean symptom period was 37.7 (6–120) months, while the mean age of the control group was 32.4 (24–48) years. The mean NIH-CPSI score of the patient group was 26.1 (16–34). Patient group was classified as CPPS type IIIa and CPPS type IIIb. Mild and moderate erectile dysfunction (ED) was found in [ 9 ] 23.2% patients at the patient group and [ 2 ] 10% at the control group ( P : 0.185). Severe erectile dysfunction was not found in both groups. Ejaculatio Precox (EP) was found at (29) 67.4% of the patient group and [ 7 ] 40% of the control group. Pain on ejaculation (PEP) was detected in [ 15 ] 37.2% of the patient group, while none of the control group had pain on ejaculation. More than one sexual dysfunction was found in [ 17 ] 41.8% of the patient group and none of the control group. Comparing patient group versus control group, ejaculation disorders (EP and PEP) and more than one sexual dysfunction disorder were statistically significant. According to ED, there is no statistical difference between the groups ( P  &gt; 0.05). Conclusion Sexual function disorders, especially ejaculation disorders (EP and PEP), are frequently seen in CP/CPPS patients versus normal population. Age, symptoms period, symptom score and CP/CPPS subgroups are not risk factors for sexual function disorders. Patients with the diagnosis of CP/CPPS should be evaluated for sexual function disorders.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>20680450</pmid><doi>10.1007/s11255-010-9809-5</doi><tpages>6</tpages></addata></record>
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subjects Adult
Ejaculation
Erectile Dysfunction - etiology
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Prevalence
Prostatitis - classification
Prostatitis - complications
Severity of Illness Index
Sexual Dysfunction, Physiological - epidemiology
Sexual Dysfunction, Physiological - etiology
Turkey
Urology
Urology – Original Paper
Young Adult
title Sexual dysfunction in type III chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) observed in Turkish patients
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