Prevalence of sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: a meta-analysis

Li, Hongjun; Kang, Deying

doi:10.1007/s00345-015-1720-3

Cited by 61 publications

(55 citation statements)

References 29 publications

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“…Sexual dysfunction is often associated with prostatitis though limited studies claim that there is still some controversy. Our team had conducted a pooled study which showed that the prevalence of sexual dysfunction for adult males with chronic prostatitis was high up to 62% [ 17 ]. ED is one of the most common types of sexual dysfunction; previously, a meta-analysis found that cases with chronic prostatitis have an increased risk of ED compared the control group (pooled OR 3.02, 95% CI: 2.18–4.17) [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

History of Prostatitis Is an Independent Risk Factor for Erectile Dysfunction: A Cross-Sectional Study

Cai

Xiong

et al. 2020

BioMed Research International

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Purpose. To determine the role of history of prostatitis (HP) as an independent risk factor for erectile dysfunction (ED) in Chinese adult males. Methods. We conducted an online survey using a crowd-sourced questionnaire in Chinese adult males. The participants were separated into two groups as adult participants with HP and with no history of prostatitis (NHP) according to the medical history record. As diagnosis criteria of ED, we used the 5 questions of the International Index for Erectile Function (IIEF-5). The general data including height, weight, monthly income, academic background, smoking history, alcohol drinking, marital status, conjugal affection, and other disease history was asked and recorded. The relationship between HP and ED using the chi-square test and logistic regression analyses was investigated and analyzed. Results. In total, 1873 participants answered the questionnaire. 95 participants in the HP group and 1778 participants in the NHP group were included in this study. The rate of participants with HP was 5.343%. ED was found in 68.4% of the HP group and 43% of the NHP group ( p < 0.001 ). Regression analysis showed that participants in HP were more likely to have ED (OR 2.135, 95% CI 1.266–3.60) after adjusting for the participant’s age, body mass index (BMI), monthly income, academic background, smoking history, alcohol drinking, marital status, conjugal affection, BPH, hypertension, and diabetes mellitus, when compared with NHP. Conclusions. The present study indicated a high prevalence of ED in Chinese adult males with history of prostatitis, and HP is an independent risk factor for erectile dysfunction.

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Section: Discussionmentioning

confidence: 99%

History of Prostatitis Is an Independent Risk Factor for Erectile Dysfunction: A Cross-Sectional Study

Cai

Xiong

et al. 2020

BioMed Research International

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“…Although men with lifelong and acquired PE appear to share the dimensions of short ejaculatory latency, reduced ejaculatory control, and the presence of negative personal consequences, Men with acquired PE are older, have higher incidences of erectile dysfunction, comorbid disease, and cardiovascular risk factors, and have a longer intravaginal ejaculation latency time (IELT) as compared with men with lifelong PE 23 . Acquired PE is commonly due to sexual performance anxiety 24 , erectile dysfunction (ED) 25 , and occasionally prostatitis 26 or hyperthyroidism 12 . Because of the heterogeneous physiology of ejaculation and pathophysiology of different types of PE, the present study only evaluated the patients with lifelong PE.…”

Section: Discussionmentioning

confidence: 99%

Significance of penile hypersensitivity in premature ejaculation

Guo

Liu

Wang

et al. 2017

Sci Rep

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To assess the correlation between penile hypersensitivity and premature ejaculation (PE), a total of 420 consecutive subjects attending our andrologic clinic for suspected PE were enrolled. The entire cohort was asked to complete the self-report intravaginal ejaculation latency time (IELT) by stopwatch. According to the IELT, the subjects were classified into 3 groups. Vibratory thresholds were recorded at the glans penis and penile shaft using a biothesiometer. We found that vibratory thresholds in the glans penis and penile shaft were significantly lower in both mild and severe PE group than in the control group (3.81 ± 0.57 and 3.54 ± 0.43 vs 4.73 ± 0.77 for glans penis p = 0.000; 3.64 ± 0.52 and 3.37 ± 0.50 vs 4.62 ± 0.69 for penile shaft p = 0.002). The vibratory threshold decreased as the disease aggravated. In the mild and severe PE groups, a significant positive correlation was detected between the mean values of IELT and the vibratory thresholds. Furthermore, in the receiver operating characteristics curve analysis, the area under the curve of the glans penis and penile shaft vibratory thresholds predicting severe PE were 0.852 and 0.893 respectively. Our study established a dose-dependent association between penile vibratory threshold and PE. Therefore, the vibratory threshold can serve as a potential marker for predicting the severity of PE.

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“…Pain is another common complaint of methadone-maintained patients, which refers to “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” 13 – 16 Due to concerns about opioid dependence as a barrier to pain management, pain is also often undertreated or untreated in addiction treatment practice. 13 , 17 Previous studies have reported a high prevalence of sexual dysfunction in patients with painful conditions (ie, chronic pelvic pain syndrome and chronic low back pain), 18 – 20 which is particularly high among those with intensive and severe pain. 20 Therefore, we speculate that pain is associated with sexual dysfunction in methadone-maintained patients.…”

Section: Introductionmentioning

confidence: 99%

Sexual life satisfaction of methadone-maintained Chinese patients: individuals with pain are dissatisfied with their sex lives

Zhong

Zhu

et al. 2018

JPR

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PurposePain is potentially associated with sexual dysfunction. Both sexual dysfunction and pain are common in methadone-maintained patients, but the association of pain with sexual dysfunction in methadone-maintained patients is rarely studied. This study examined the association between pain and sexual life satisfaction (SLS) in Chinese patients receiving methadone maintenance treatment (MMT).Patients and methodsA total of 477 methadone-maintained patients who recently had sex with their sex partners were recruited from three MMT clinics in Wuhan, China. SLS was assessed with a single question, and the sociodemographic, psychological, and clinical data were collected with standardized questionnaires. Pain intensity was assessed with the 5-point verbal rating scale. Multiple ordinary logistic regression was used to control for potential confounders that may bias the pain–SLS relationship.ResultsThe prevalence of self-reported dissatisfaction with one’s sexual life was significantly higher in patients with clinically significant pain (CSP) than those without CSP (41.5% vs 19.4%, χ2 =23.567, P<0.001). After controlling for potential sociodemographic, psychological, and clinical confounders, CSP was still significantly and independently associated with an increase in sexual life dissatisfaction (OR =1.89, P=0.011).ConclusionPain is significantly associated with low SLS in methadone-maintained patients. Appropriate pain management might improve SLS of patients receiving MMT.

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Prevalence of sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: a meta-analysis

Cited by 61 publications

References 29 publications

History of Prostatitis Is an Independent Risk Factor for Erectile Dysfunction: A Cross-Sectional Study

History of Prostatitis Is an Independent Risk Factor for Erectile Dysfunction: A Cross-Sectional Study

Significance of penile hypersensitivity in premature ejaculation

Sexual life satisfaction of methadone-maintained Chinese patients: individuals with pain are dissatisfied with their sex lives

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