Beutel M E, Weidner W, Brähler E
Klinik für Psychosomatik und Psychotherapie, Justus-Liebig-Universität Giessen.
Urologe A. 2004 Mar;43(3):261-7. doi: 10.1007/s00120-003-0521-2.
The diagnosis of chronic pelvic pain syndrome takes into account the fact that no clear etiology has been identified underlying chronic prostatitis and its associations with multiple somatic and psychological complaints. Based on a representative survey, this study enquires into the prevalence of pelvic pain in the community, its association with sexual dysfunction, somatic complaints and aging. Of the 770 men surveyed, 60 (7.8%) fulfilled the criteria for pelvic pain syndrome. This was assessed by a validated Giessen Prostatitis Symptom Score. Sexual dysfunction (particularly erectile dysfunction and loss of libido) were more frequently reported by men with pelvic pain than by men without a pain syndrome. The great majority of men afflicted by pelvic pain complained of additional pain symptoms (particularly back and joint pain) and fatigue. While sexual and somatic complaints were age-associated in the asymptomatic men, this was not the case for the symptomatic men. Our findings stress the fact that chronic pelvic pain syndrome is a major health problem in middle and late adulthood in men. Differentiated knowledge about comorbidity is a prerequisite for developing new interdisciplinary approaches to the diagnosis and therapy of this to date unsatisfactorily treated syndrome.
慢性盆腔疼痛综合征的诊断考虑到这样一个事实，即慢性前列腺炎的潜在病因尚不明确，且它与多种躯体和心理症状相关。基于一项代表性调查，本研究探究了社区中盆腔疼痛的患病率、其与性功能障碍、躯体症状及衰老的关联。在接受调查的770名男性中，60名（7.8%）符合盆腔疼痛综合征的标准。这是通过经过验证的吉森前列腺炎症状评分进行评估的。与无疼痛综合征的男性相比，有盆腔疼痛的男性更频繁地报告性功能障碍（尤其是勃起功能障碍和性欲减退）。绝大多数受盆腔疼痛折磨的男性还抱怨有其他疼痛症状（尤其是背部和关节疼痛）以及疲劳。虽然在无症状男性中，性症状和躯体症状与年龄相关，但在有症状的男性中并非如此。我们的研究结果强调了这样一个事实，即慢性盆腔疼痛综合征是男性中老年期的一个主要健康问题。关于合并症的差异化知识是开发针对这种迄今为止治疗效果不理想的综合征的新的跨学科诊断和治疗方法的先决条件。
