A case-control study on the association between chronic prostatitis/chronic pelvic pain syndrome and erectile dysfunction
Resource
BJU Int., 110(5), 726-730
Journal
BJU Int.
Journal Volume
110
Journal Issue
5
Pages
726-730
Date Issued
2012
Date
2012
Author(s)
Chung, Shiu-Dong
Keller, Joseph J.
Lin, Herng-Ching
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.
Subjects
chronic prostatitis
erectile dysfunction
epidemiology
SDGs
Other Subjects
adult; alcohol abuse; alcoholism; article; case control study; chronic prostatitis; comorbidity; confidence interval; controlled study; data base; demography; diabetes mellitus; disease association; erectile dysfunction; geography; human; hypertension; income; ischemic heart disease; kidney disease; logistic regression analysis; major clinical study; male; national health insurance; obesity; patient identification; pelvis pain syndrome; prevalence; priority journal; risk assessment; social aspect; urbanization; urologist; Adolescent; Adult; Age Distribution; Aged; Case-Control Studies; Chronic Disease; Erectile Dysfunction; Humans; Male; Middle Aged; Pelvic Pain; Prevalence; Prostatitis; Taiwan; Young Adult