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男性慢性盆腔疼痛综合征的流行病学与评估

Epidemiology and evaluation of chronic pelvic pain syndrome in men.

作者信息

Schaeffer A J

机构信息

Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

出版信息

Int J Antimicrob Agents. 2008 Feb;31 Suppl 1:S108-11. doi: 10.1016/j.ijantimicag.2007.08.027.

DOI:10.1016/j.ijantimicag.2007.08.027
PMID:18164597
Abstract

Chronic pelvic pain syndrome (CPPS), formerly known as chronic abacterial prostatitis, is characterised by pelvic or perineal pain without evidence of urinary tract infection. It manifests as pain in a variety of areas including the perineum, rectum, prostate, penis, testicles and abdomen [Litwin MS, McNaughton-Collins M, Fowler Jr FJ, Nickel JC, Calhoun EA, Pontari MA, et al. The National Institutes of Health chronic prostatitis symptom index: development and validation of a new outcome measure. Chronic Prostatitis Collaborative Research Network. J Urol 1999;2:369-75]. It is also frequently associated with symptoms including urinary urgency, frequency, hesitancy and poor or interrupted flow. CPPS may be associated with white cells in the prostatic secretions (inflammatory) (NIH-3A), or white cell absence in the prostatic secretions (non-inflammatory) (NIH-3B) [Krieger JN, Nyberg Jr L, Nickel JC. NIH consensus definition and classification of prostatitis. JAMA 1999;3:236-7].

摘要

慢性盆腔疼痛综合征(CPPS),以前称为慢性非细菌性前列腺炎,其特征是盆腔或会阴疼痛,且无尿路感染证据。它表现为多种部位的疼痛,包括会阴、直肠、前列腺、阴茎、睾丸和腹部[利特温MS,麦克诺顿 - 柯林斯M,小福勒FJ,尼克尔斯JC,卡尔霍恩EA,庞塔里MA等。美国国立卫生研究院慢性前列腺炎症状指数:一种新结局指标的制定与验证。慢性前列腺炎协作研究网络。《泌尿外科杂志》1999年;2:369 - 75]。它还常伴有尿急、尿频、排尿犹豫以及尿流不畅或中断等症状。CPPS可能与前列腺分泌物中存在白细胞(炎症性)(NIH - 3A)或前列腺分泌物中无白细胞(非炎症性)(NIH - 3B)相关[克里格JN,小奈伯格L,尼克尔斯JC。美国国立卫生研究院前列腺炎的共识定义和分类。《美国医学会杂志》1999年;3:236 - 7]。

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