肾内科

慢性前列腺炎/慢性盆腔痛与勃起功能障碍:病例对照研究

作者:Edward M. Schaeffer 来源:Journal of Urology 日期:2013-03-12
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Re: A Case-Control Study on the Association between Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Erectile Dysfunction
 
 
Abstract 
Objective:
To examine the association between erectile dysfunction (ED) and a previous diagnosis of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) using a population-based dataset.
 
Patients And Methods:
The data for this case-control study was obtained from the National Health Insurance database. A total of 3194 males, who were =18 years of age when they first received a diagnosis of ED, were identified and 15 970 controls were randomly selected. The prevalence and risk of CP/CPPS among cases and controls were calculated by using conditional logistic regression analysis.
 
Results:
In total, 667 (3.5%) of the 19 164 sampled subjects had been diagnosed with CP/CPPS before the index date; CP/CPPS was found in 276 (8.6%) cases and in 391 (2.5%) controls (P < 0.001). Regression analysis indicated that cases were more likely to have had previous CP/CPPS (odd ratio 3.62, 95% confidence interval 3.07-4.26) after adjusting for patient monthly income, geographical location and urbanization level, as well as hypertension, diabetes, coronary heart disease, renal disease, obesity and alcohol abuse/alcohol dependence syndrome status, when compared with controls.
 
Conclusions:
We conclude that there was an association between ED and having been previously diagnosed with CP/CPPS. Urologists should be alert to the association between CP/CPPS and ED, and assess the erectile function of patients suffering from CP/CPPS.
 
 
 
 
http://www.jurology.com/article/S0022-5347(13)03628-8/abstract
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