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• W1966474913 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Mar 2001PREVALENCE OF PROSTATITIS-LIKE SYMPTOMS IN A POPULATION BASED STUDY USING THE NATIONAL INSTITUTES OF HEALTH CHRONIC PROSTATITIS SYMPTOM INDEX J. Curtis Nickel, Joe Downey, Duncan Hunter, and Janet Clark J. Curtis NickelJ. Curtis Nickel Financial interest and/or other relationship with Janssen-Ortho Canada, Inc., Merck & Co., Inc., Alza and Uros. More articles by this author , Joe DowneyJoe Downey More articles by this author , Duncan HunterDuncan Hunter More articles by this author , and Janet ClarkJanet Clark More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)66541-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The National Institutes of Health (NIH) chronic prostatitis symptom index was used to determine the prevalence of prostatitis-like symptoms among men (age 20 to 74 years) at risk in a community based study. Materials and Methods: The study was a cross-sectional postal survey of men age 20 to 74 years in Lennox and Addington counties, which included a large rural area, 1 major town and a suburban area with a stable population of men representative of Canadian demographics. The questionnaire collected information on 2 domains of chronic prostatitis identified in the NIH chronic prostatitis symptom index, including pain (location, severity and frequency), voiding function (irritative, obstructive), demographics, quality of life, general health and health seeking behavior. The self-reported pain score was used to identify prostatitis-like symptoms in the most discriminating domain. Based on analysis of the index final validation study comparing patients with prostatitis to normal controls and those with benign prostatic hyperplasia, the 2 questions most specific for prostatitis, including perineal and/or ejaculatory pain/discomfort, and a total pain score (0 to 21) 4 or greater were used to identify men with significant prostatitis-like symptoms. Results: A total of 2,987 eligible men received the survey, and it was completed by 868 (29%). Of the men 84 (9.7%) were identified as having chronic prostatitis-like symptoms (mean NIH chronic prostatitis symptom index pain score 9.1 ± 0.3). The average age of the prostatitis population was 50 years compared with 52 years for men without prostatitis-like symptoms. Prevalence was 11.5% in men younger than 50 years and 8.5% in men 50 years or older. Of the sampled population 57 (6.6%) men had prostatitis-like symptoms and an index pain score 8 or greater (moderate to severe). The index voiding score (0 to 10) was 4.1 ± 0.5 in men younger than 50 years compared with 1.5 ± 0.1 for normal controls, and 4.7 ± 0.4 in those 50 years or older compared with 1.9 ± 0.1 for normal controls. Of the prostatitis group 60% sought medical help for their symptoms. Conclusions: In our opinion this community based study using the new prostatitis symptom index confirms that chronic prostatitis-like symptoms are common. References 1 : A review of clinical and pathological prostatitis syndromes. 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Google Scholar From the Departments of Urology, Community Health and Epidemiology, Queen’s University, Kingston, Ontario, Canada© 2001 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byQin Z, Zang Z, Zhou K, Wu J, Zhou J, Kwong J and Liu Z (2018) Acupuncture for Chronic Prostatitis/Chronic Pelvic Pain Syndrome: A Randomized, Sham Acupuncture Controlled TrialJournal of Urology, VOL. 200, NO. 4, (815-822), Online publication date: 1-Oct-2018.Nickel J, Freedland S, Castro-Santamaria R and Moreira D (2018) Chronic Prostate Inflammation Predicts Symptom Progression in Patients with Chronic Prostatitis/Chronic Pelvic PainJournal of Urology, VOL. 198, NO. 1, (122-128), Online publication date: 1-Jul-2017.Zhang R, Sutcliffe S, Giovannucci E, Willett W, Platz E, Rosner B, Dimitrakoff J and Wu K (2018) Lifestyle and Risk of Chronic Prostatitis/Chronic Pelvic Pain Syndrome in a Cohort of United States Male Health ProfessionalsJournal of Urology, VOL. 194, NO. 5, (1295-1300), Online publication date: 1-Nov-2015.Davis S, Binik Y, Amsel R and Carrier S (2018) Is a Sexual Dysfunction Domain Important for Quality of Life in Men with Urological Chronic Pelvic Pain Syndrome? 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The Physical Activity and Male Pelvic Pain Trial: A Double-Blind, Randomized StudyJournal of Urology, VOL. 177, NO. 1, (159-165), Online publication date: 1-Jan-2007.Marszalek M, Wehrberger C, Hochreiter W, Temml C and Madersbacher S (2018) Symptoms Suggestive of Chronic Pelvic Pain Syndrome in an Urban Population: Prevalence and Associations With Lower Urinary Tract Symptoms and Erectile FunctionJournal of Urology, VOL. 177, NO. 5, (1815-1819), Online publication date: 1-May-2007.Pontari M, Joyce G, Wise M and McNaughton-Collins M (2018) ProstatitisJournal of Urology, VOL. 177, NO. 6, (2050-2057), Online publication date: 1-Jun-2007.Nickel J, Roehrborn C, O’Leary M, Bostwick D, Somerville M and Rittmaster R (2018) Examination of the Relationship Between Symptoms of Prostatitis and Histological Inflammation: Baseline Data From the REDUCE Chemoprevention TrialJournal of Urology, VOL. 178, NO. 3, (896-901), Online publication date: 1-Sep-2007.Clemens J, Meenan R, O’Keeffe Rosetti M, 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Volume 165Issue 3March 2001Page: 842-845 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.Keywordschronic diseasepelvic painprostatitisMetricsAuthor Information J. Curtis Nickel Financial interest and/or other relationship with Janssen-Ortho Canada, Inc., Merck & Co., Inc., Alza and Uros. More articles by this author Joe Downey More articles by this author Duncan Hunter More articles by this author Janet Clark More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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