Prevalence of a physician-assigned diagnosis of prostatitis: The olmsted county study of urinary symptoms and health status among men

Rosebud O. Roberts, Michael M. Lieber, Thomas Rhodes, Cynthia J. Girman, David G. Bostwick, Steven J. Jacobsen

Research output: Contribution to journalArticle

199 Scopus citations

Abstract

Objectives. To describe the occurrence of a physician-assigned diagnosis of prostatitis in a community-based cohort. Methods. A sampling frame of all Olmsted County, Minnesota, male residents was used to randomly select a cohort of men between 40 and 79 years old by January 1, 1990, to participate in a longitudinal study of lower urinary tract symptoms. The 2115 participants (response rate 55%) completed a previously validated self- administered questionnaire that assessed the prevalence of lower urinary tract symptoms, including a history of prostatitis. Subsequently, all inpatient and outpatient community medical records of participants were reviewed retrospectively for a physician-assigned diagnosis of prostatitis from the date of initiation of the medical record through the date of the last follow-up. Results. The overall prevalence rate of a physician-assigned diagnosis of prostatitis was 9%. Men identified with the diagnosis of 'prostatitis' had symptoms of dysuria and frequency and rectal, perineal, suprapubic, and lower back pain. Among men with a previous diagnosis of prostatitis, the cumulative probability of subsequent episodes of prostatitis was much higher (20%, 38%, and 50% among men 40, 60, and 80 years old, respectively). Conclusions. These findings indicate that the community-based prevalence of a physician-assigned diagnosis of prostatitis is high, of similar magnitude to that of ischemic heart disease and diabetes. Furthermore, once a man has an initial episode of prostatitis, he is more likely to suffer chronic episodes than men without a diagnosis. Although the pathologic mechanisms underlying these diagnoses are not certain, these data provide a first step toward understanding how frequently the diagnosis occurs in the community.

Original languageEnglish (US)
Pages (from-to)578-584
Number of pages7
JournalUrology
Volume51
Issue number4
DOIs
StatePublished - Apr 1 1998

    Fingerprint

ASJC Scopus subject areas

  • Urology

Cite this