| Title | Chronic prostatitis/chronic pelvic pain syndrome: Symptoms are aggravated by cold and become less distressing with age and time. | | Author(s) | Hedelin H, Jonsson K | | Institution | Research and Development Centre and the Department of Urology, Kärnsjukhuset, Skövde, Sweden. | | Source | Scand J Urol Nephrol 2007 Jun 21.:1-5. | | 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. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 17853027 |
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