A case-control study of risk factors in men with chronic pelvic pain syndrome

BJU Int. 2005 Sep;96(4):559-65. doi: 10.1111/j.1464-410X.2005.05684.x.

Abstract

Objective: To compare the demographic, behavioural, clinical and medical history characteristics of men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and asymptomatic controls, to identify characteristics that might be associated with this syndrome.

Patients and methods: Self-administered epidemiological questionnaires were completed by 463 men with CP/CPPS and 121 asymptomatic age-matched controls. We compared the prevalence of possible risk factors between men with CP/CPPS and controls, using generalized Mantel-Haenszel tests, and developed multivariate predictive models using logistic regression methods, adjusting for clustering by clinical centre within both methods.

Results: Compared to controls, men with CP/CPPS reported a significantly greater lifetime prevalence of nonspecific urethritis (12% vs 4%, P = 0.008), cardiovascular disease (11% vs 2%, P = 0.004), neurological disease (41% vs 14%, P < 0.001), psychiatric conditions (29% vs 11%, P < 0.001), and haematopoietic, lymphatic or infectious disease (41% vs 20%, P < 0.001).

Conclusion: A wide range of self-reported medical conditions was associated with CP/CPPS. Further studies are necessary to determine whether they play a role in the pathogenesis of CP/CPPS.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Cardiovascular Diseases / complications
  • Chronic Disease
  • Cystitis, Interstitial / complications
  • Epidemiologic Methods
  • Humans
  • Male
  • Male Urogenital Diseases / complications*
  • Middle Aged
  • Nervous System Diseases / complications
  • Pelvic Pain / etiology*
  • Prostatitis / complications
  • Surveys and Questionnaires
  • Syndrome
  • United States
  • Urethritis / complications