[Urethral syndrome in men--chronic pelvic pain syndrome].
BACKGROUND
Chronic pelvic pain syndrome (CPPS) is defined as pelvis minor pain of nonmalignant nature repeating in different time intervals. Urethral syndrome (US) represents a most poorly defined entity within CPPS.


OBJECTIVE
The estimation of US influence on quality-of-life as well as the determination of the way of treatment and therapy optimal length.


METHODS
A prospective one-year study included 166 men with CPPS, median age of 54 years; they were monitored clinically. During the patient monitoring the NIH-CPSI questionnaire (National Institute of Health-Chronic Prostatis Symptom Index) was used. US was diagnosed in 79 patients (47%), and according to the most intensive pain localization they were divided into three groups. All the patients were treated with alpha adrenergic blockers and non-steroidal anti-inflammatory drugs, and the treatment of the patients with positive urethral smear also included antibiotherapy. The values of total NIH-CPSI, as well as of its individual components were analyzed after three and six months of treatment.


CONCLUSIONS
The therapy application had a significant influence on the decrease of total NIH-CPSI--23.3% (p < 0.01), pain symptoms (p < 0.0) and urinary difficulties (p < 0.01), and the point values of quality-of-life score were diminished by 0.7 to 1.9 points depending on the group of those monitored (p < 0.01).


CONCLUSIONS
Our study indicated a significant influence of CPPS on quality-of-life and a necessity of a serious approach to patients and their treatment.
Cvetković
B R
BR
Uroloska sluzba KBC Zemun, Beograd.
Cvetković
Z P
ZP
Milenković
D
D
Adamović
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D006801:Humans; D008297:Male; D008875:Middle Aged; D017699:Pelvic Pain / Q000209:etiology* / Q000628:therapy; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014522:Urethral Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D055815:Young Adult