Pelvic tenderness is not limited to the prostate in chronic prostatitis/chronic pelvic pain syndrome (CPPS) type IIIA and IIIB: comparison of men with and without CP/CPPS.

Pelvic tenderness is not limited to the prostate in chronic prostatitis/chronic pelvic pain syndrome (CPPS) type IIIA and IIIB: comparison of men with and without CP/CPPS.
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DOI：
10.1186/1471-2490-7-17
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发表时间：
2007-10-02
期刊：
BMC urology
影响因子：
2
通讯作者：
Turner, Judith A
Turner, Judith A
中科院分区：
医学4区
文献类型：
--
作者：
Berger, Richard E;Ciol, Marcia A;Turner, Judith A

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背景：我们希望确定慢性前列腺炎/慢性盆腔疼痛综合征（CP/CPPS） III型男性和无盆腔疼痛的男性在盆腔和非盆腔压痛方面是否存在差异。方法：我们对62名患有CP/CPPS IIIA型和IIIB型的男性和98名无盆腔疼痛的男性进行了美国风湿病学会描述的手动压痛点调查（MTPS）。我们还评估了10个骨盆外压痛点（EPTP）和7个骨盆内压痛点（IPTP）的压痛。所有的研究参与者都完成了美国国立卫生研究院慢性前列腺炎症状量表（NIH CPSI）。结果：我们发现患有CPPS的男性在MTPS、EPTPS和IPTPS上明显更柔软。CPSI评分与EPTP量表相关，但与IPTP量表和前列腺压痛无关。75%的CPPS男性和50%的非CPPS男性存在前列腺压痛。前列腺液白细胞增多与前列腺压痛无关。结论：有CP/CPPS的男性比无CPPS的男性有更多的压痛。CPPS患者的压痛分布于整个骨盆，并不局限于前列腺。
BACKGROUND: We wished to determine if there were differences in pelvic and non-pelvic tenderness between men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) Type III and men without pelvic pain.METHODS: We performed the Manual Tender Point Survey (MTPS) as described by the American College of Rheumatology on 62 men with CP/CPPS Type IIIA and IIIB and 98 men without pelvic pain. We also assessed tenderness of 10 external pelvic tender points (EPTP) and of 7 internal pelvic tender points (IPTP). All study participants completed the National Institutes of Health Chronic Prostatitis Symptom Inventory (NIH CPSI).RESULTS: We found that men with CPPS were significantly more tender in the MTPS, the EPTPS and the IPTPS. CPSI scores correlated with EPTP scale but not with IPTP scale or prostate tenderness. Prostatic tenderness was present in 75% of men with CPPS and in 50% of men without CPPS. Expressed prostatic fluid leukocytosis was not associated with prostatic tenderness.CONCLUSION: Men with CP/CPPS have more tenderness compared to men without CPPS. Tenderness in men with CPPS is distributed throughout the pelvis and not specific to the prostate.