title: Association between past urinary tract infections and current symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome.
abstract: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a major cause of illness, and its association with history of past urinary tract infections is unclear. We surveyed a racially, ethnically and socioeconomically diverse, community-based sample of adults aged 30-79 years in Boston, MA. This report gives estimates from the 2,301 men in the BACH survey: 700 black, 766 Hispanic and 835 white. Symptoms of chronic prostatitis--any perineal and/or ejaculatory pain and a pain score of > or =4--were derived from the NIH Chronic Prostatitis Symptom Index and were used to identify men with symptoms suggesting CP/CPPS. The overall prevalence of symptoms suggestive of CP/CPPS is 6.3%. The number of urinary tract infections, particularly >3, was associated with symptoms suggestive of CP/CPPS (P < 0.01). There is a strong association between current symptoms of CP/CPPS and a history of urinary tract infections, particularly of multiple infections. The causality between chronic UTIs and CP/CPPS needs to be clarified by further study.
authors.affiliation: University of California, San Francisco, Department of Medicine, Division of General Internal Medicine, San Francisco, CA 94115, USA. ndaniels@medicine.ucsf.edu
authors.forename: Nicholas A
authors.initials: NA
authors.lastname: Daniels
authors.forename: Carol L
authors.initials: CL
authors.lastname: Link
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Barry
authors.forename: John B
authors.initials: JB
authors.lastname: McKinlay
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000367:Age Factors; D000368:Aged; D001900:Boston / Q000453:epidemiology; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D017699:Pelvic Pain / Q000453:epidemiology* / Q000208:ethnology; D015995:Prevalence; D011472:Prostatitis / Q000453:epidemiology* / Q000208:ethnology; D012044:Regression Analysis; D013577:Syndrome; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000208:ethnology; D044465:White People / Q000706:statistics & numerical data