Epidemiology of prostatitis
Epidemiology of prostatitis
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DOI：
10.1016/j.ijantimicag.2007.08.028
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发表时间：
2008-02-01
影响因子：
10.8
通讯作者：
Riley, Donald E.
中科院分区：
文献类型：
--
作者：
Krieger, John N.;Lee, Shaun Wen Huey;Riley, Donald E.
背景：前列腺炎是一种感染性疾病（急性和慢性细菌性前列腺炎）、慢性盆腔疼痛综合征和无症状炎症的组合。材料和方法：我们采用循证方法回顾前列腺炎综合征的流行病学。结果：前列腺炎症状的患病率可以在5项研究中进行比较，调查了10617名男性。总体而言，873名参与者符合前列腺炎的各种标准，总体发病率为8.2%，患病率为2.2%至9.7%。性传播疾病史与前列腺炎症状的风险增加有关。有前列腺炎症状史的男性患良性前列腺增生、下尿路症状和前列腺癌的几率显著增加。在一项研究中，医生诊断的前列腺炎发病率为每1000人年4.9例。两项研究表明，大约三分之一报告前列腺炎症状的男性在一年后消退。既往有发作且症状较重的患者发生慢性盆腔疼痛的风险较高。讨论：前列腺炎症状的患病率很高，与缺血性心脏病和糖尿病的发生率相当。临床评估似乎是必要的，以证实前列腺炎是负责患者的症状。前列腺炎症状可能会增加男性患良性前列腺肥大、下尿路症状和前列腺癌的风险。我们需要定义前列腺炎的自然历史和后果，开发更好的诊断和治疗算法，并制定预防策略。(c) 2007 Elsevier B.V.和国际化学疗法学会。版权所有。
Background: Prostatitis describes a combination of infectious diseases (acute and chronic bacterial prostatitis), chronic pelvic pain syndrome, and asymptomatic inflammation.Materials and methods: We employed evidence-based methods to review the epidemiology of prostatitis syndromes.Results: The prevalence of prostatitis symptoms could be compared in five studies surveying 10 617 men. Overall, 873 participants met various criteria for prostatitis, representing an overall rate of 8.2%, with prevalence ranging from 2.2 to 9.7%. A history of sexually transmitted diseases was associated with an increased risk for prostatitis symptoms. Men reporting a history of prostatitis symptoms had a substantially increased rate of benign prostatic hyperplasia, lower urinary tract symptoms and prostate cancer. In one study, the incidence of physician-diagnosed prostatitis was 4.9 cases per 1000 person-years. Two studies suggest that about one-third of men reporting prostatitis symptoms had resolution after 1 year. Patients with previous episodes and more severe symptoms are at higher risk for chronic pelvic pain.Discussion: The prevalence of prostatitis symptoms is high, comparable to rates of ischaemic heart disease and diabetes. Clinical evaluation appears necessary to verify that prostatitis is responsible for patients' symptoms. Prostatitis symptoms may increase a man's risk for benign prostate hypertrophy, lower urinary tract symptoms and prostate cancer. We need to define natural history and consequences of prostatitis, develop better algorithms for diagnosis and treatment, and develop strategies for prevention. (c) 2007 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.