Article

Primary Care And Urology Patients With The Male Pelvic Pain Syndrome: Symptoms And Quality Of Life

University of Washington Seattle, Seattle, Washington, United States
The Journal of Urology (Impact Factor: 3.75). 05/2002; 167(4):1768-73. DOI: 10.1016/S0022-5347(05)65196-8
Source: PubMed

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. [7] 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. [8] 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 [9]. "
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