Primary Care And Urology Patients With The Male Pelvic Pain Syndrome: Symptoms And Quality Of Life
ABSTRACT We assessed symptoms and health related quality of life in men who received prostatitis-prostatodynia diagnoses at primary care and urology visits, and compared those in whom pain-discomfort had versus had not resolved approximately 1 month later.
Telephone interviews were done with 357 men an average of 1 month after a prostatitis-prostatodynia diagnosis was made at a health maintenance organization visit. The interview included the National Institutes of Health Chronic Prostatitis Symptom Index, and pain and health related quality of life measures.
The most common pain location was the pubic-bladder area. Mean scores on most health related quality of life measures were below average, and higher pelvic pain and urinary symptom scores were associated with worse quality of life. This episode of pelvic pain was the first lifetime episode in fewer urology (22%) than primary care (38%) patients (p = 0.02). Urology patients had longer symptom episodes (p = 0.000), more days with pain in the last month (p = 0.002) and higher National Institutes of Health Chronic Prostatitis Symptom Index pain scores (p = 0.002). Men with pain in the testicles, penis or between the rectum and testicles at the visit, and with longer symptom duration before the visit were significantly more likely to have continued pain between the visit and interview.
Pelvic pain is often a persistent, recurrent condition that can have a significant negative impact on quality of life. The average symptom severity in men with pelvic pain in primary care and urology settings is lower than that in tertiary care samples.
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- "Supporting their findings, Marszalek et al.  also discovered such an association with regard to the perineum, testicles, penis, and suprapubic area as a site of self-reported discomfort. Similarly , another study conducted by Turner et al.  showed a close correlation between pelvic pain scores and impaired on quality of life in the 357 men with prostatitis which suggested that male pelvic pain and associated symptoms may have a significant negative impact on health-related QoL. In a study that evaluated the management of CP/CPPS patients in primary care settings, results showed that worse QoL is associated with greater pain and urinary symptoms and that pelvic pain is associated with worse QoL than urinary symptoms . "
ABSTRACT: The purpose of the study is to evaluate the relationship between NIH-CPSI and IIEF-5 in Chinese men with CP/CPPS. A large cross-sectional and multicenter survey was conducted from July 2012 to January 2014. Men were recruited from urology clinics which were located at the five cities in China. All men participated in the survey by completing a verbal questionnaire (consisted of sociodemographics, past medical history, sexual history, and self-estimated scales). The results showed that 1,280 men completed the survey. Based on the CP/CPPS definition, a total of 801 men were diagnosed as having CP/CPPS. Men with CP/CPPS reported higher scores of NIH-CPSI and lower scores of IIEF-5 than men without CP/CPPS. NIH-CPSI scores were significantly negatively correlated with IIEF-5 scores. The total scores of NIH-CPSI were significantly more strongly correlated with question 5 than other questions of IIEF-5. The total scores of IIEF-5 were significantly more strongly correlated with pain symptoms scores of NIH-CPSI. Strongest correlation was found between QoL impact and question 5 of IIEF-5. The findings suggested that NIH-CPSI scores were significantly negatively correlated with IIEF-5 scores. Strongest correlation was found between QoL impact and question 5 of IIEF-5.01/2015; 2015:560239. DOI:10.1155/2015/560239
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- "The quality of life (QOL) is also disturbed as the result of urinary and erectile dysfunctions  . Greater pain and urinary symptoms are associated with worse QOL  . "
ABSTRACT: Objectives. To investigate the effectiveness of extracorporeal shock wave therapy (ESWT) for symptoms alleviation in chronic pelvic pain syndrome (CPPS). Materials and Methods. 40 patients with CPPS were randomly allocated into either the treatment or sham group. In the first group, patients were treated by ESWT once a week for 4 weeks by a defined protocol. In the sham group, the same protocol was applied but with the probe being turned off. The follow-up assessments were done at 1, 2, 3, and 12 weeks by Visual Analogue Scale (VAS) for pain and NIH-developed Chronic Prostatitis Symptom Index (NIH-CPSI). Results. Pain domain scores at follow-up points in both treatment and sham groups were reduced, more so in the treatment group, which were significant at weeks 2, 3, and 12. Urinary scores became significantly different at weeks 3 and 12. Also, quality of life (QOL) and total NIH-CPSI scores at all four follow-up time points reduced more significantly in the treatment group as compared to the sham group. Noticeably, at week 12 a slight deterioration in all variables was observed compared to the first 3 weeks of the treatment period. Conclusions. our findings confirmed ESWT therapy as a safe and effective method in CPPS in short term.08/2013; 2013:972601. DOI:10.1155/2013/972601
Conference Paper: A comparison of dynamics in convergence and divergence eye movements[Show abstract] [Hide abstract]
ABSTRACT: The details in timing and dynamics of inward (convergence) and outward (divergence) turning eye movements (vergence eye movements) were compared. Experiments showed that there were significant differences in the timing characteristics of convergence versus divergence movements. A model-based analysis showed that the dynamics were also different in these two vergence eye movements. Based on the assumption that these movements are driven by a neural signal composed of a pulse and a step, the gain ratio between pulse and step components was much larger than one for convergence responses, but was close to or less than one in divergence responses. These data indicate that the neural control signal for divergence is close to a simple step rather than the combined pulse-step signal in convergenceBioengineering Conference, 1999. Proceedings of the IEEE 25th Annual Northeast; 05/1999