Prevalence of prostatitis-like symptoms in a community based cohort of older men

Rosebud O Roberts, Debra J. Jacobson, Cynthia J. Girman, Thomas Rhodes, Michael M. Lieber, Steven J. Jacobsen

Research output: Contribution to journalArticle

83 Citations (Scopus)

Abstract

Purpose: We describe a community based study to estimate the prevalence of prostatitis-like symptoms using questions similar to the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI). Materials and Methods: Study subjects were a randomly selected sample of Olmsted County, Minnesota white men 40 to 79 years old in January 1990 who participated in a longitudinal study of lower urinary tract symptoms. Subjects were evaluated biennially using self-administered questionnaires. In 2000 questions similar to the NIH-CPSI were incorporated into the questionnaire and questionnaire responses were used to categorize men as having prostatitis-like symptoms. Results: Of 1,541 men 182 (12%) had at least 1 urogenital pain symptom. Pubic (76 men, 4.9%) and testicular (73, 4.7%) pain were the most frequent pain symptoms. A total of 34 men with prostatitis-like symptoms (2.2%) had higher mean pain (6.7 versus 0.5), urinary symptom (3.5 versus 2.1) and quality of life impact (3.7 versus 1.9) scores compared to men who did not (all p < 0.001). Pain frequency (OR 39.2, 95% CI 18.8, 81.9) and pain intensity (OR 21.5, 95% CI 8.7, 52.9) were more strongly associated with prostatitis-like symptoms than urinary symptom score (OR 2.8, 95% CI 1.4, 5.6) or quality of life impact score (OR 4.5, 95% CI 1.9, 10.7). Conclusions: Although urogenital pain is common among community dwelling men, prostatitis,like symptoms based on the modified questions from the NIH-CPSI are less common. While pain measures may be useful in distinguishing between men with and without prostatitis-like symptoms, the urinary symptom and quality of life impact scores could partly reflect benign prostatic hyperplasia.

Original languageEnglish (US)
Pages (from-to)2467-2471
Number of pages5
JournalJournal of Urology
Volume168
Issue number6
StatePublished - Dec 1 2002

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Prostatitis
Pain
National Institutes of Health (U.S.)
Quality of Life
Independent Living
Lower Urinary Tract Symptoms
Prostatic Hyperplasia
Longitudinal Studies

Keywords

  • Cohort studies
  • Prostatitis, pain, sifnr and symptoms, epidemiology

ASJC Scopus subject areas

  • Urology

Cite this

Roberts, R. O., Jacobson, D. J., Girman, C. J., Rhodes, T., Lieber, M. M., & Jacobsen, S. J. (2002). Prevalence of prostatitis-like symptoms in a community based cohort of older men. Journal of Urology, 168(6), 2467-2471.

Prevalence of prostatitis-like symptoms in a community based cohort of older men. / Roberts, Rosebud O; Jacobson, Debra J.; Girman, Cynthia J.; Rhodes, Thomas; Lieber, Michael M.; Jacobsen, Steven J.

In: Journal of Urology, Vol. 168, No. 6, 01.12.2002, p. 2467-2471.

Research output: Contribution to journalArticle

Roberts, RO, Jacobson, DJ, Girman, CJ, Rhodes, T, Lieber, MM & Jacobsen, SJ 2002, 'Prevalence of prostatitis-like symptoms in a community based cohort of older men', Journal of Urology, vol. 168, no. 6, pp. 2467-2471.
Roberts RO, Jacobson DJ, Girman CJ, Rhodes T, Lieber MM, Jacobsen SJ. Prevalence of prostatitis-like symptoms in a community based cohort of older men. Journal of Urology. 2002 Dec 1;168(6):2467-2471.
Roberts, Rosebud O ; Jacobson, Debra J. ; Girman, Cynthia J. ; Rhodes, Thomas ; Lieber, Michael M. ; Jacobsen, Steven J. / Prevalence of prostatitis-like symptoms in a community based cohort of older men. In: Journal of Urology. 2002 ; Vol. 168, No. 6. pp. 2467-2471.
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abstract = "Purpose: We describe a community based study to estimate the prevalence of prostatitis-like symptoms using questions similar to the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI). Materials and Methods: Study subjects were a randomly selected sample of Olmsted County, Minnesota white men 40 to 79 years old in January 1990 who participated in a longitudinal study of lower urinary tract symptoms. Subjects were evaluated biennially using self-administered questionnaires. In 2000 questions similar to the NIH-CPSI were incorporated into the questionnaire and questionnaire responses were used to categorize men as having prostatitis-like symptoms. Results: Of 1,541 men 182 (12{\%}) had at least 1 urogenital pain symptom. Pubic (76 men, 4.9{\%}) and testicular (73, 4.7{\%}) pain were the most frequent pain symptoms. A total of 34 men with prostatitis-like symptoms (2.2{\%}) had higher mean pain (6.7 versus 0.5), urinary symptom (3.5 versus 2.1) and quality of life impact (3.7 versus 1.9) scores compared to men who did not (all p < 0.001). Pain frequency (OR 39.2, 95{\%} CI 18.8, 81.9) and pain intensity (OR 21.5, 95{\%} CI 8.7, 52.9) were more strongly associated with prostatitis-like symptoms than urinary symptom score (OR 2.8, 95{\%} CI 1.4, 5.6) or quality of life impact score (OR 4.5, 95{\%} CI 1.9, 10.7). Conclusions: Although urogenital pain is common among community dwelling men, prostatitis,like symptoms based on the modified questions from the NIH-CPSI are less common. While pain measures may be useful in distinguishing between men with and without prostatitis-like symptoms, the urinary symptom and quality of life impact scores could partly reflect benign prostatic hyperplasia.",
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AU - Jacobsen, Steven J.

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AB - Purpose: We describe a community based study to estimate the prevalence of prostatitis-like symptoms using questions similar to the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI). Materials and Methods: Study subjects were a randomly selected sample of Olmsted County, Minnesota white men 40 to 79 years old in January 1990 who participated in a longitudinal study of lower urinary tract symptoms. Subjects were evaluated biennially using self-administered questionnaires. In 2000 questions similar to the NIH-CPSI were incorporated into the questionnaire and questionnaire responses were used to categorize men as having prostatitis-like symptoms. Results: Of 1,541 men 182 (12%) had at least 1 urogenital pain symptom. Pubic (76 men, 4.9%) and testicular (73, 4.7%) pain were the most frequent pain symptoms. A total of 34 men with prostatitis-like symptoms (2.2%) had higher mean pain (6.7 versus 0.5), urinary symptom (3.5 versus 2.1) and quality of life impact (3.7 versus 1.9) scores compared to men who did not (all p < 0.001). Pain frequency (OR 39.2, 95% CI 18.8, 81.9) and pain intensity (OR 21.5, 95% CI 8.7, 52.9) were more strongly associated with prostatitis-like symptoms than urinary symptom score (OR 2.8, 95% CI 1.4, 5.6) or quality of life impact score (OR 4.5, 95% CI 1.9, 10.7). Conclusions: Although urogenital pain is common among community dwelling men, prostatitis,like symptoms based on the modified questions from the NIH-CPSI are less common. While pain measures may be useful in distinguishing between men with and without prostatitis-like symptoms, the urinary symptom and quality of life impact scores could partly reflect benign prostatic hyperplasia.

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