Gonen Murat, Kalkan Mehmet, Cenker Ali, Ozkardes Hakan
Department of Urology, Baskent University School of Medicine, Konya, Turkey.
J Androl. 2005 Sep-Oct;26(5):601-3. doi: 10.2164/jandrol.04159.
Chronic pelvic pain syndrome is a common and serious health problem affecting the quality of life in men. Limited studies exist on the relation of this condition to premature ejaculation. We evaluated prevalence rates of premature ejaculation in Turkish male patients with chronic pelvic pain syndrome and compared them with healthy control subjects. Sixty-six men with chronic pelvic pain syndrome were included in the study (group 1). A questionnaire consisting of 2 parts--demographic data and a Turkish version of the National Institutes of Health Chronic Prostatitis Symptom index--was administered to all patients. Premature ejaculation was defined as intravaginal ejaculation latency of less than 2 minutes with the same partner for at least 6 months. All patients were evaluated with physical examinations and routine laboratory tests. If erectile dysfunction was noted from the medical history, penile Doppler ultrasonography also was performed. The results were compared with the results of 30 healthy men without urinary symptoms (group 2). The chi2 test was used for statistical analyses. Of 66 patients with chronic pelvic pain syndrome, 51 had premature ejaculation (77.3%), and in 10 (15.2%) patients, premature ejaculation and erectile dysfunction were found together. Penile Doppler ultrasonography showed no vascular pathology in patients with erectile dysfunction. The rate of premature ejaculation was higher in patients in the study group than it was in patients in the control group, and this difference was statistically significant (P < .05). Both chronic pelvic pain syndrome and premature ejaculation are common disorders, but their ethiopathogeneses are not well understood. In Turkish men with chronic pelvic pain syndrome, the incidence of psychogenic sexual problems was higher than in the normal population.
慢性盆腔疼痛综合征是一种常见且严重的健康问题，会影响男性的生活质量。关于这种疾病与早泄之间的关系，现有研究有限。我们评估了患有慢性盆腔疼痛综合征的土耳其男性患者中早泄的患病率，并将其与健康对照者进行比较。66名患有慢性盆腔疼痛综合征的男性被纳入研究（第1组）。向所有患者发放了一份由两部分组成的问卷——人口统计学数据以及美国国立卫生研究院慢性前列腺炎症状指数的土耳其语版本。早泄被定义为与同一伴侣阴道内射精潜伏期少于2分钟，且至少持续6个月。所有患者均接受了体格检查和常规实验室检查。如果病史中发现有勃起功能障碍，还进行了阴茎多普勒超声检查。将结果与30名无泌尿症状的健康男性的结果（第2组）进行比较。采用卡方检验进行统计分析。66例慢性盆腔疼痛综合征患者中，51例有早泄（77.3%），10例（15.2%）患者同时存在早泄和勃起功能障碍。阴茎多普勒超声检查显示勃起功能障碍患者无血管病变。研究组患者的早泄发生率高于对照组患者，且这种差异具有统计学意义（P <.05）。慢性盆腔疼痛综合征和早泄都是常见疾病，但它们的病因病理尚未完全明确。在患有慢性盆腔疼痛综合征的土耳其男性中，心因性性问题的发生率高于正常人群。
