Krieger J N, Egan K J, Ross S O, Jacobs R, Berger R E
Department of Urology, University of Washington, School of Medicine, Seattle 98195, USA.
Urology. 1996 Nov;48(5):715-21; discussion 721-2. doi: 10.1016/S0090-4295(96)00421-9.
To refine and standardize evaluation of current symptoms in men with "chronic prostatitis."
We reviewed the literature, developed a symptom index, and evaluated the clinical utility of this tool in 50 patients with chronic prostatitis and 75 control patients (25 with benign prostatic hyperplasia [BPH] and 50 with sexual dysfunction).
Patients with prostatitis reported more perineal, lower abdominal, testicular, penile, and ejaculatory pain than patients with BPH (P < 0.05 for each symptom) or sexual dysfunction (P < 0.01 for each symptom). Ejaculatory pain was also more common among men with prostatitis than among men with BPH (P = 0.07) or among men with sexual dysfunction (P < 0.01). Although described as characteristic of prostatitis in the literature, low back or rectal pain did not distinguish patients with prostatitis from those with BPH. Patients with prostatitis were intermediate between patients with BPH and sexual dysfunction on the voiding scale and similar to the BPH group on the sexual dysfunction scale.
Pain symptoms were the predominant urologic manifestations of chronic prostatitis. The symptom index may prove valuable for evaluating patients and describing clinical results.
完善并规范对“慢性前列腺炎”男性患者当前症状的评估。
我们查阅了文献，制定了一个症状指数，并在50例慢性前列腺炎患者和75例对照患者（25例良性前列腺增生[BPH]患者和50例性功能障碍患者）中评估了该工具的临床实用性。
前列腺炎患者报告的会阴部、下腹部、睾丸、阴茎及射精疼痛比BPH患者（每种症状P<0.05）或性功能障碍患者（每种症状P<0.01）更多。射精疼痛在前列腺炎男性患者中也比BPH男性患者（P=0.07）或性功能障碍男性患者中更常见（P<0.01）。虽然在文献中被描述为前列腺炎的特征，但腰背痛或直肠痛并不能区分前列腺炎患者和BPH患者。前列腺炎患者在排尿量表上介于BPH患者和性功能障碍患者之间，在性功能障碍量表上与BPH组相似。
疼痛症状是慢性前列腺炎主要的泌尿系统表现。该症状指数可能对评估患者和描述临床结果有价值。
