염증성 만성골반통증후군과 비염증성 만성골반통증후군간의 만성전립선염 증상 점수표에 따른 임상 양상의 비교
Comparison of Clinical Symptoms Scored According to NIH-CPSI in Patients with Chronic Prostatitis Syndrome Category IIIa and IIIb
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Purpose: With little evidence, the causes of inflammatory and non-inflammatory chronic pelvic pain syndrome (CPPS), which cover a majority of cases of prostatitis syndromes, have not been fully explicated. The mechanisms of these two CPPS may be different. Although the clinical symptoms are expected to be disparate, we compared the clinical symptoms between the two using National Institutes of Health chronic prostatitis symptoms index (NIH-CPSI) over several parameters. Materials and Methods: The chronic pelvic pain syndrome patients (n=256) at our institution between April 2009 and March 2010 were included. After classifying these patients into two groups, the inflammatory CPPS and the non-inflammatory CPPS groups, we compared the two groups in terms of pain or discomfort, urinary symptom, quality of life, prostate volume measured by transrectal ultrasonography (TRUS), prostate specific antigen (PSA) and maximum flow rate (Qmax) difference. Result: There was no statistically significant difference between the two groups in pain or discomfort, urinary symptom, quality of life, prostate volume measured by TRUS, and Qmax difference. However, inflammatory CPPS patients showed meaningfully higher PSA scores than non-inflammatory CPPS patients. No significant difference was observed between patient age and compared among the age groups. Pain or discomfort, urinary symptom, quality of life, prostate volume measured by TRUS, and Qmax difference within each age group were not significantly different between the inflammatory CPPS & non-inflammatory groups. Conclusions: There was no statistically significant difference between the two groups except PSA. It remains unreliable to distinguish inflammatory CPPS from non-inflammatory CPPS based solely on clinical symptoms.
Abstract
Purpose: With little evidence, the causes of inflammatory and non-inflammatory chronic pelvic pain syndrome (CPPS), which cover a majority of cases of prostatitis syndromes, have not been fully explicated. The mechanisms of these two CPPS may be different. Although the clinical symptoms are expected to be disparate, we compared the clinical symptoms between the two using National Institutes of Health chronic prostatitis symptoms index (NIH-CPSI) over several parameters. Materials and Methods: The chronic pelvic pain syndrome patients (n=256) at our institution between April 2009 and March 2010 were included. After classifying these patients into two groups, the inflammatory CPPS and the non-inflammatory CPPS groups, we compared the two groups in terms of pain or discomfort, urinary symptom, quality of life, prostate volume measured by transrectal ultrasonography (TRUS), prostate specific antigen (PSA) and maximum flow rate (Qmax) difference. Result: There was no statistically significant difference between the two groups in pain or discomfort, urinary symptom, quality of life, prostate volume measured by TRUS, and Qmax difference. However, inflammatory CPPS patients showed meaningfully higher PSA scores than non-inflammatory CPPS patients. No significant difference was observed between patient age and compared among the age groups. Pain or discomfort, urinary symptom, quality of life, prostate volume measured by TRUS, and Qmax difference within each age group were not significantly different between the inflammatory CPPS & non-inflammatory groups. Conclusions: There was no statistically significant difference between the two groups except PSA. It remains unreliable to distinguish inflammatory CPPS from non-inflammatory CPPS based solely on clinical symptoms.
참고문헌 (19)
- 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)
- Collins MM, "Distinguishing chronic prostatitis and benign prostatic hyperplasia symptoms: results of a national survey of physician visits", Urology, 53, pp.921~925 (1999)
- 조인래, "전립선염의 진단과 치료", The World Journal of Men's Health, 23(1), pp.1~11 (2005), 대한남성과학회
- Cho IR, "The prevalence of the symptoms of the prostate syndrome patients under 50", Korean J Urol, 39, pp.751~756 (1998)
- Wenninger K, "Sickness impact of chronic nonbacterial prostatitis and its correlates", J Urol, 155, pp.965~968 (1996)
- Krieger JN, "NIH consensus definition and classification of prostatitis", JAMA, 282, pp.236~237 (1999)
- Krieger JN, "Comprehensive evaluation and treatment of 75 men referred to chronic prostatitis clinic", Urology, 38, pp.11~19 (1991)
- Shoskes DA, "Long-term results of multimodal therapy for chronic prostatitis", chronic pelvic pain syndrome, 2003, pp.169, 1406~1410
- Nickel JC, "Effective office management of chronic prostatitis", Urol Clin North Am, 25, pp.677~684 (1998)
- McNaughton Collins M, "Quality of life is impaired in men with chronic prostatitis: the Chronic Prostatitis Collaborative Research Network", J Gen Intern Med, 16, pp.656~662 (2001)
- Ku JH, "The prevalence of chronic prostatitis-like symptoms in young men: a communitybased survey", Urol Res, 29, pp.108~112 (2001)
- McNaughton Collins M, "Diagnosis and treatment of chronic abacterial prostatitis: a systematic review", Ann Intern Med, 133, pp.367~381 (2000)
- Litwin MS, "The national institutes of health chronic prostatitis symptom index: development and validation of a new outcome measure", J Urol, 162, pp.369~375 (1999)
- Shoskes DA, "Impact of post-ejaculatory pain in men with category III chronic prostatitis", chronic pelvic pain syndrome, 2004, pp.172, 542~547
- Kirby RS, "Surgical considerations in the management of prostatitis, in the Textbook of prostatitis", pp.346~364 (1999), Textbook of prostatitis
- Wang MC, "Purification of a human prostate specific antigen", Invest Urol, 17, pp.159~163 (1979)
- Stamey TA, "Prostate-specific antigen as a serum marker for adenocarcinoma of the prostate", N Engl J Med, 317, pp.909~916 (1987)
- Pansadoro V, "Prostatic-antigen and prostatitis in men under fifty", Eur Urol, 30, pp.24~27 (1996)
- Cho IR, "PSA and prostatitis in men under 45 years old", Korean J Urol, 39, pp.633~637 (1998)