Aljumaily Aosama, Wu Christopher, Al-Khazraji Hind, Gordon Allan, Lau Susan, Jarvi Keith A
Division of Urology, Department of Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
Murray Koffler Urologic Wellness Centre, Mount Sinai Hospital, Toronto, Ontario, Canada.
Can J Pain. 2017 Aug 17;1(1):106-111. doi: 10.1080/24740527.2017.1328592. eCollection 2017.
: Chronic scrotal pain (CSP) is a common and often debilitating condition found in up to 4.75% of men. There is little written on the impact of CSP on men's lives. : The aim of this study was to understand the impact of CSP on men's lives. : Patients with CSP were prospectively asked to complete a comprehensive questionnaire, including questions on quality of life (QoL), activities, and mood. : The mean age of the 131 patients was 43 years. Pain was intermittent, with severe pain episodes (mean pain scores 7.2 ± 2 out of 10) affecting men on average 40% ± 30% of the time. Overall, 88/131 (67.17%) of patients responded that they felt "unhappy" or "terrible" with their present situation. More than 40% of patients complained of depressive symptoms more than half the days of the month. Normal activities were adversely affected, with 68/131 (51.90%) reporting limited ability to work, 93/131 (70.99%) patients reporting decreased physical activity, and 81/131(61.83%) reporting decreased sexual activity. Comparing men with pain levels ≥ 7/10 vs. those with pain levels < 7/10, 47% (41/88) vs. 8.1% (3/37) reported that they felt "terrible," 40% (35/88) vs. 13% (5/38) had depressive feelings more than half the time, and 35% (28/80) vs. 16% (6/38) felt little pleasure doing things ( < 0.01 for all). : Our study suggests that QoL, mood, and the ability to perform normal activities are profoundly disturbed in CSP patients and that the pain severity is directly related to QoL.
慢性阴囊疼痛（CSP）是一种常见且往往使人衰弱的疾病，在高达4.75%的男性中存在。关于CSP对男性生活影响的文献很少。本研究的目的是了解CSP对男性生活的影响。前瞻性地要求患有CSP的患者完成一份综合问卷，包括关于生活质量（QoL）、活动和情绪的问题。131名患者的平均年龄为43岁。疼痛是间歇性的，严重疼痛发作（平均疼痛评分7.2±2，满分10分）平均影响男性40%±30%的时间。总体而言，131名患者中有88名（67.17%）表示对自己目前的状况感到“不开心”或“糟糕”。超过40%的患者每月超过一半的时间抱怨有抑郁症状。正常活动受到不利影响，131名患者中有68名（51.90%）报告工作能力受限，93名（70.99%）患者报告身体活动减少，81名（61.83%）患者报告性活动减少。比较疼痛水平≥7/10的男性与疼痛水平<7/10的男性，47%（41/88）对8.1%（3/37）报告他们感觉“糟糕”，40%（35/88）对13%（5/38）超过一半的时间有抑郁情绪，35%（28/80）对16%（6/38）做事情时几乎没有乐趣（所有比较P<0.01）。我们的研究表明，CSP患者的生活质量、情绪和进行正常活动的能力受到严重干扰，且疼痛严重程度与生活质量直接相关。
