Erectile Dysfunction in Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Outcomes from a Multi-Center Study and Risk Factor Analysis in a Single Center.
The aim of this study was to investigate the prevalence of erectile dysfunction (ED) in patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and explore the influence of UPOINT domains, National Institutes of Health-CP symptom index (NIH-CPSI) and other factors on ED prevalence. This was a prospective study of consecutive patients with CP/CPPS seen at 11 tertiary hospitals during January-July 2014. ED was diagnosed as a score of<21 on the International Index of Erectile Function (IIEF-5). Patients from one center were evaluated by the UPOINT system and NIH-CPSI. Each patient was assessed using clinical examination, asocio-demographic questionnaire, the Patient Health Questionnaire (PHQ), the Pain Catastrophizing Scale (PCS), NIH-CPSI and IIEF-5.1406 patients from 11 centers (mean age, 32.18 years; range 18-60 years) were enrolled. ED was found in 638/1406 patients (45.4%), and was categorized as mild in 291(45.6%), moderate in 297(46.6%) and severe in50(7.7%). 192 patients from one center(mean age,31.3 years; range 18-57 years) were further studied.IIEF-5 score correlated negatively with NIH-CPSI(r = 0.251), PHQ (r = 0.355) and PCS (r = 0.322)scores (P<0.001).PHQ score correlated positively with NIH-CPSI (r = 0.586) and PCS(r = 0.662) scores (P<0.001).NIH-CPSI, PHQ, PCS and IIEF-5 scores did not differ significantly between class IIIA and IIIB CP/CPPS. Multivariate logistic regression showed that UPOINT psychological (P) domain and NIH-CPSI symptom severity were independent risk factors for ED in CP/CPPS. It is concluded that psychological factors and symptom severity are independent risk factors for ED in CP/CPPS.
Department of Urology, 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, China.
Yadong
Y
Zhang
Department of Urology, 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, China.
Tao
T
Zheng
Department of Urology, 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, China.
Xiang'an
X
Tu
Department of Urology, 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, China.
Xin
X
Chen
Department of Ultrasound Medicine, Endocrinology, 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, China.
Zhu
Z
Wang
Department of Urology, 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, China.
Shengfu
S
Chen
Department of Urology, 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, China.
Qiyun
Q
Yang
Department of Urology, 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, China.
Zi
Z
Wan
Department of Urology, 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, China.
Dayu
D
Han
Department of Endocrinology, 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, China.
Haipeng
H
Xiao
Department of Urology, 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, China.
Xiangzhou
X
Sun
Department of Urology, 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, China.
Chunhua
C
Deng
D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D059350:Chronic Pain / Q000150:complications*; D007172:Erectile Dysfunction / Q000453:epidemiology* / Q000209:etiology*; D005163:Factor Analysis, Statistical; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009316:National Institutes of Health (U.S.); D017699:Pelvic Pain / Q000150:complications*; D015995:Prevalence; D011446:Prospective Studies; D011472:Prostatitis / Q000150:complications*; D018570:Risk Assessment; D012307:Risk Factors; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult