Sibert L, Rigaud J, Delavierre D, Labat J-J
Service d'urologie, EA 4308, hôpital Charles-Nicolle, CHU de Rouen, université de Rouen, 1, rue de Germont, 76000 Rouen, France.
Prog Urol. 2010 Nov;20(12):872-85. doi: 10.1016/j.purol.2010.08.004. Epub 2010 Sep 29.
To combine epidemiological and health economics data concerning urological chronic pelvic pain syndromes.
Review of articles concerning this topic in the Medline (PubMed) database, chosen according to their scientific relevance.
Prevalences are about 10,000/100,000 for chronic pelvic pain syndrome/chronic prostatis, 239 to 306/100,000 for bladder pain syndrome/interstitial cystitis, 15,000 to 20,000/100,000 for post-vasectomy testis and epididymis pain, 14,000/100,000 concerning deep female dyspareunia, 1000 to 9000/100,000 for male ejaculation or orgasma-related pain, 15,000 to 21,000/100,000 for female chronic pelvic pain, of which one third is related to endometriosis. Little has been published about the frequency of other chronic pelvic and perineal pain syndromes. The financial impact is comparable to other more frequent chronic diseases, with costs definitely above what the prevalences would have led to believe.
The frequency of pelvic disease association, their predisposing factors, common environments and comordities suggest a possible common origin. This epidemiological data highlights the benefit of a multidisciplinary approach of chronic pelvic and perineal pain. This could lead to a better understanding of involved mechanisms, and ultimately treatment options.
整合有关泌尿外科慢性盆腔疼痛综合征的流行病学和卫生经济学数据。
根据科学性相关性，对Medline（PubMed）数据库中有关该主题的文章进行综述。
慢性盆腔疼痛综合征/慢性前列腺炎的患病率约为10000/100000，膀胱疼痛综合征/间质性膀胱炎的患病率为239至306/100000，输精管结扎术后睾丸和附睾疼痛的患病率为15000至20000/100000，重度女性性交困难的患病率为14000/100000，男性射精或性高潮相关疼痛的患病率为1000至9000/100000，女性慢性盆腔疼痛的患病率为15000至21000/100000，其中三分之一与子宫内膜异位症有关。关于其他慢性盆腔和会阴疼痛综合征的发病率报道较少。其经济影响与其他更常见的慢性疾病相当，成本肯定高于患病率所显示的水平。
盆腔疾病关联的频率、其诱发因素、共同环境和共病提示可能存在共同起源。这些流行病学数据凸显了对慢性盆腔和会阴疼痛采取多学科方法的益处。这可能会更好地理解其中涉及的机制，并最终带来治疗选择。
