대한민국 40-50대 남성에서 만성전립선염 증상 정도가 조루증에 미치는 영향
Effect of the Severity of Chronic Prostatitis Symptoms on Premature Ejaculation among Korean Males in Their 40-50s
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Purpose: The purpose of this study was to analyze the effect of the severity of chronic prostatitis symptoms on premature ejaculation among Korean males in their 40-50s. Materials and Methods: From September 2011 to December 2012, we conducted a survey targeting 319 Koreans who had undergone medical examinations in our institution, using National Institute of Health chronic prostatitis symptom index (NIH-CPSI) and premature ejaculation diagnostic tool (PEDT). Results: The average age of 319 volunteers was 50.8 years (40-59), the average total NIH-CPSI score was 8.6±6.2. And total PEDT score was 7.7±5.0. Twenty eight persons had chronic prostatitis-like symptoms (8.8%). Statistically significant differences in the prevalence of premature ejaculation were observed between persons with chronic prostatitis-like symptoms (82%) and those without (37.5%). In the same manner, the prevalence of premature ejaculation was higher in the moderate and severe symptom groups than in the mild symptom groups according to the symptom scale score (pain plus voiding score) and total score of NIH-CPSI (mild: 38.2%, moderate/severe: 59.6% by symptom scale score and mild: 36.7%, moderate/severe: 65.4% by total score). In univariate and multivariate analyses, presence or absence of chronic prostatitis-like symptoms and classification according to total NIH-CPSI score were independent predictive factors for the prevalence of premature ejaculation on PEDT. Conclusions: Significant statistical relationships were observed between NIH-CPSI and PEDT in Korean males in their 40-50s who have chronic prostatitis-like symptoms or were classified into moderate and severe symptom groups according to total NIH-CPSI score.
Abstract
Purpose: The purpose of this study was to analyze the effect of the severity of chronic prostatitis symptoms on premature ejaculation among Korean males in their 40-50s. Materials and Methods: From September 2011 to December 2012, we conducted a survey targeting 319 Koreans who had undergone medical examinations in our institution, using National Institute of Health chronic prostatitis symptom index (NIH-CPSI) and premature ejaculation diagnostic tool (PEDT). Results: The average age of 319 volunteers was 50.8 years (40-59), the average total NIH-CPSI score was 8.6±6.2. And total PEDT score was 7.7±5.0. Twenty eight persons had chronic prostatitis-like symptoms (8.8%). Statistically significant differences in the prevalence of premature ejaculation were observed between persons with chronic prostatitis-like symptoms (82%) and those without (37.5%). In the same manner, the prevalence of premature ejaculation was higher in the moderate and severe symptom groups than in the mild symptom groups according to the symptom scale score (pain plus voiding score) and total score of NIH-CPSI (mild: 38.2%, moderate/severe: 59.6% by symptom scale score and mild: 36.7%, moderate/severe: 65.4% by total score). In univariate and multivariate analyses, presence or absence of chronic prostatitis-like symptoms and classification according to total NIH-CPSI score were independent predictive factors for the prevalence of premature ejaculation on PEDT. Conclusions: Significant statistical relationships were observed between NIH-CPSI and PEDT in Korean males in their 40-50s who have chronic prostatitis-like symptoms or were classified into moderate and severe symptom groups according to total NIH-CPSI score.
참고문헌 (23)
- 구자현, "대전충남 지역의 젊은 남성에서 수행된 만성 전립선염 유사증상의 역학 조사: 유병률 및 기후의 영향", Korean Journal of Urology, 43(4), pp.318~321 (2002), 대한비뇨기과학회
- Roberts RO, "Prevalence of a physician-assigned diagnosis of prostatitis: the olmsted county study of urinary symptoms and health status among men", Urology, 51, pp.578~584 (1998)
- Pontari MA, "Chronic prostatitis", chronic pelvic pain syndrome, 2008, pp.35, 81~89
- Litwin MS, "The National Institutes of Health chronic prostatitis symptom index: development and validation of a new outcome measure. Chronic Prostatitis Collaborative Research Network", J Urol, 162, pp.369~375 (1999)
- Nickel JC, "Failure of a monotherapy strategy for difficult chronic prostatitis", chronic pelvic pain syndrome, 2004, pp.172, 551~554
- Propert KJ, "Chronic Prostatitis Collaborative Research Network. Design of a multicenter randomized clinical trial for chronic prostatitis", chronic pelvic pain syndrome., 2002, pp.59, 870~876
- Taylor BC, "Urologic Diseases in America Project. Excessive antibiotic use in men with prostatitis", Am J Med, 121, pp.444~449 (2008)
- McMahon CG., "Treatment of premature ejaculation with sertraline hydrochloride: a single-blind placebo controlled crossover study", J Urol, 159, pp.1935~1938 (1998)
- Symonds T, "Development and validation of a premature ejaculation diagnostic tool", Eur Urol, 52, pp.565~573 (2007)
- Shamloul R, "Chronic prostatitis in premature ejaculation: a cohort study in 153 men", J Sex Med, 3, pp.150~154 (2006)
- Screponi E, "Prevalence of chronic prostatitis in men with premature ejaculation", Urology, 58, pp.198~202 (2001)
- Xing JP, "Survey of the prevalence of chronic prostatitis in men with premature ejaculation", Zhonghua Nan Ke Xue, 9, pp.451~453 (2003)
- Liang CZ, "Prevalence of premature ejaculation and its correlation with chronic prostatitis in Chinese men", Urology, 76, pp.962~966 (2010)
- Gonen M, "Prevalence of premature ejaculation in Turkish men with chronic pelvic pain syndrome", J Androl, 26, pp.601~603 (2005)
- Nickel JC, "Prevalence of prostatitis-like symptoms in a population based study using the National Institutes of Health chronic prostatitis symptom index", J Urol, 165, pp.842~845 (2001)
- Waldinger MD, "The neurobiological approach to premature ejaculation", J Urol, 168, pp.2359~2367 (2002)
- Waldinger MD, "Lifelong premature ejaculation: from authority- based to evidence-based medicine", BJU Int, 93, pp.201~207 (2004)
- Gurkan L, "Premature ejaculation: current and future treatments", Asian J Androl, 10, pp.102~109 (2008)
- American Psychiatric Association, "4th ed, In Diagnostic and statistical manual of mental disorders. Text revision DSM-IV-TR" (2000), American Psychiatric Association
- St Lawrence JS, "Evaluation and treatment of premature ejaculation: a critical review", Int J Psychiatry Med, 22, pp.77~97 (1992)
- World Health Organization, "The ICD-10 classification of mental and behavioural disorders: diagnostic criteria for research. Geneva (IL):" (1993), World Health Organization
- Opsomer RJ, "Pudendal cortical somatosensory evoked potentials", J Urol, 135, pp.1216~1218 (1986)
- Cho IR, "Premature ejaculation and prostatitis", Proceeding of the 1st KAUPPC (The Korean Association of Urological Professional Primary Clinician) symposium on premature ejaculation, pp.15~17 (1997)
