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Titre du document / Document title

Prevalence, incidence estimation, risk factors and characterization of chronic prostatitis/chronic pelvic pain syndrome in urological hospital outpatients in Italy : Results of a multicenter case-control observational study. Commentary

Auteur(s) / Author(s)

Italian Prostatitis Study Group
BARTOLETTI Riccardo (1) ; CAI Tommaso (1) ; MONDAINI Nicola (1) ; DINELLI Nicola (2) ; PINZI Novello (3) ; PAVONE Carlo (4) ; GONTERO Paolo (5) ; GAVAZZI Andrea (1) ; GIUBILEI Gianluca (1) ; PREZIOSO Domenico (6) ; MAZZOLI Sandra (7) ; BODDI Vieri (8) ; NABER Kurt G. (9) ; WATSON Richard A. (Commentateur (texte écrit)) (10) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Department of Urology, University of Florence and Sexually Transmitted Diseases Centre, ITALIE
(2) Urology Units, Department of Surgery, University of Pisa, Pisa, ITALIE
(3) Campo di Marte Hospital, Lucca, ITALIE
(4) Department of Urology, University of Palermo, Palermo, ITALIE
(5) Department of Urology University of Piemonte Orientale, Novara, ITALIE
(6) Department of Urology, "Federico II University", Naples, ITALIE
(7) Santa Maria Annunziata Hospital, Florence, ITALIE
(8) Department of Public Health and Epidemiology, University of Florence and Sexually Transmitted Diseases Centre, ITALIE
(9) Department of Urology, Technical University of Munich, Munich, ALLEMAGNE
(10) Department of Urology Hackensack University Medical Center, Hackensack, New Jersey, ETATS-UNIS

Résumé / Abstract

Purpose: We evaluated the prevalence and estimated the incidence and risk factors of chronic prostatitis/chronic pelvic pain syndrome in urological hospital outpatients in Italy. Materials and Methods: From January to June 2006 patients from 28 Italian urological centers who were between 25 and 50 years old with symptoms of chronic prostatitis/chronic pelvic pain syndrome were consecutively enrolled in this prospective epidemiological case-control study. A total of 152 subjects of similar age, race and area of origin who were investigated for infertile couples but were otherwise healthy served as controls. All subjects provided a medical history and underwent different symptom scorings, clinical evaluation and microbiological tests. Results: Of 5,540 male urological outpatients 764 with chronic prostatitis/chronic pelvic pain syndrome were enrolled, including 225 (29.4%) at the first presentation and 539 (70.6%) who underwent previous treatment. Thus, the prevalence of the syndrome was 13.8%, while the estimated incidence was 4.5%. Cigarette smoking, a high caloric diet with low fruit and vegetable consumption, constipation, meteorism, slow digestion, a sexual relationship with more than 1 partner and coitus interruptus were more likely in patients with chronic prostatitis/chronic pelvic pain syndrome than in controls (each p <0.001). The syndrome had a negative influence on sexual desire, erectile dysfunction and premature ejaculation (p <0.001). The Meares and Stamey test was positive in 13.3% of patients and in 2.9% of controls. Urethral swabs in patients with a negative Meares and Stamey test were positive for sexually transmitted pathogens in 6%. Conclusions: The prevalence and estimated incidence of chronic prostatitis/chronic pelvic pain syndrome in urological hospital outpatients in Italy are high. The syndrome is closely related to lifestyle, diet, smoking, gastrointestinal or anorectal disease and impaired sexual function.

Revue / Journal Title

The Journal of urology    ISSN  0022-5347   CODEN JOURAA 

Source / Source

2007, vol. 178, no6, pp. 2411-2415 [5 page(s) (article)] (19 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, New York, NY, ETATS-UNIS  (1917) (Revue)

Mots-clés anglais / English Keywords

Urinary system

;

Urinary system disease

;

Male genital diseases

;

Prostate disease

;

Europe

;

Nephrology

;

Urology

;

Life style

;

Pain

;

Quality of life

;

Case control study

;

Multicenter study

;

Italy

;

Ambulatory

;

Urinary tract

;

Hospital

;

Syndrome

;

Prostatitis

;

Chronic

;

Characterization

;

Risk factor

;

Estimation

;

Incidence

;

Epidemiology

;

Prevalence

;

Pelvic pain

;

Mots-clés français / French Keywords

Appareil urinaire

;

Pathologie de l'appareil urinaire

;

Pathologie de l'appareil génital mâle

;

Pathologie de la prostate

;

Europe

;

Néphrologie

;

Urologie

;

Mode de vie

;

Douleur

;

Qualité de vie

;

Etude cas témoin

;

Etude multicentrique

;

Italie

;

Ambulatoire

;

Voie urinaire

;

Hôpital

;

Syndrome

;

Prostatite

;

Chronique

;

Caractérisation

;

Facteur risque

;

Estimation

;

Incidence

;

Epidémiologie

;

Prévalence

;

Algie pelvienne

;

Mots-clés espagnols / Spanish Keywords

Aparato urinario

;

Aparato urinario patología

;

Aparato genital macho patología

;

Prostata patología

;

Europa

;

Nefrología

;

Urología

;

Modo de vida

;

Dolor

;

Calidad vida

;

Estudio caso control

;

Estudio multicéntrico

;

Italia

;

Ambulatorio

;

Vía urinaria

;

Hospital

;

Síndrome

;

Prostatitis

;

Crónico

;

Caracterización

;

Factor riesgo

;

Estimación

;

Incidencia

;

Epidemiología

;

Prevalencia

;

Dolor pelviano

;

Mots-clés d'auteur / Author Keywords

prostate

;

prostatitis

;

quality of life

;

pain

;

life style

;

Localisation / Location

INIST-CNRS, Cote INIST : 2081, 35400016212210.0280

Nº notice refdoc (ud4) : 19373234



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