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Chronic prostatitis/chronic pelvic pain syndrome: symptoms are aggravated by cold and become less distressing with age and time.
Scand J Urol Nephrol. 2007; 41(6):516-20.SJ

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+Show Affiliations

Research and Development Centre and the Department of Urology, Kärnsjukhuset, Skövde, Sweden. hans.hedelin@vgregion.seNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17853027

Citation

Hedelin, Hans, and Karin Jonsson. "Chronic Prostatitis/chronic Pelvic Pain Syndrome: Symptoms Are Aggravated By Cold and Become Less Distressing With Age and Time." Scandinavian Journal of Urology and Nephrology, vol. 41, no. 6, 2007, pp. 516-20.
Hedelin H, Jonsson K. Chronic prostatitis/chronic pelvic pain syndrome: symptoms are aggravated by cold and become less distressing with age and time. Scand J Urol Nephrol. 2007;41(6):516-20.
Hedelin, H., & Jonsson, K. (2007). Chronic prostatitis/chronic pelvic pain syndrome: symptoms are aggravated by cold and become less distressing with age and time. Scandinavian Journal of Urology and Nephrology, 41(6), 516-20.
Hedelin H, Jonsson K. Chronic Prostatitis/chronic Pelvic Pain Syndrome: Symptoms Are Aggravated By Cold and Become Less Distressing With Age and Time. Scand J Urol Nephrol. 2007;41(6):516-20. PubMed PMID: 17853027.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic prostatitis/chronic pelvic pain syndrome: symptoms are aggravated by cold and become less distressing with age and time. AU - Hedelin,Hans, AU - Jonsson,Karin, PY - 2007/9/14/pubmed PY - 2008/5/30/medline PY - 2007/9/14/entrez SP - 516 EP - 20 JF - Scandinavian journal of urology and nephrology JO - Scand. J. Urol. Nephrol. VL - 41 IS - 6 N2 - 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. SN - 0036-5599 UR - https://www.unboundmedicine.com/medline/citation/17853027/Chronic_prostatitis/chronic_pelvic_pain_syndrome:_symptoms_are_aggravated_by_cold_and_become_less_distressing_with_age_and_time_ L2 - http://www.tandfonline.com/doi/full/10.1080/00365590701428517 DB - PRIME DP - Unbound Medicine ER -