Daniels Nicholas A, Link Carol L, Barry Michael J, McKinlay John B
University of California, San Francisco, Department of Medicine, Division of General Internal Medicine, San Francisco, CA 94115, USA.
J Natl Med Assoc. 2007 May;99(5):509-16.
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a major cause of illness, and its association with history of past urinary tract infections is unclear. We surveyed a racially, ethnically and socioeconomically diverse, community-based sample of adults aged 30-79 years in Boston, MA. This report gives estimates from the 2,301 men in the BACH survey: 700 black, 766 Hispanic and 835 white. Symptoms of chronic prostatitis--any perineal and/or ejaculatory pain and a pain score of > or =4--were derived from the NIH Chronic Prostatitis Symptom Index and were used to identify men with symptoms suggesting CP/CPPS. The overall prevalence of symptoms suggestive of CP/CPPS is 6.3%. The number of urinary tract infections, particularly >3, was associated with symptoms suggestive of CP/CPPS (P < 0.01). There is a strong association between current symptoms of CP/CPPS and a history of urinary tract infections, particularly of multiple infections. The causality between chronic UTIs and CP/CPPS needs to be clarified by further study.
慢性前列腺炎/慢性盆腔疼痛综合征（CP/CPPS）是一种主要的疾病病因，其与既往尿路感染病史之间的关联尚不清楚。我们对马萨诸塞州波士顿市30 - 79岁的成年人进行了一项基于社区的调查，样本涵盖了不同种族、民族和社会经济背景。本报告给出了BACH调查中2301名男性的估计数据：700名黑人、766名西班牙裔和835名白人。慢性前列腺炎的症状——任何会阴部和/或射精疼痛且疼痛评分≥4——源自美国国立卫生研究院慢性前列腺炎症状指数，用于识别有提示CP/CPPS症状的男性。提示CP/CPPS的症状总体患病率为6.3%。尿路感染的次数，尤其是超过3次，与提示CP/CPPS的症状相关（P < 0.01）。CP/CPPS的当前症状与尿路感染病史之间存在很强的关联，尤其是多次感染。慢性尿路感染与CP/CPPS之间的因果关系需要通过进一步研究来阐明。
