Abstract

"Purpose: To evaluate whether patients with chronic pelvic pain syndrome (CPPS) have more sexual dysfunction rate than normal control, and whether the sexual dysfunction rate in CPPS increase with more severe CPPS symptom. Materials and Methods: 638 CPPS patients and 102 healthy controls were enrolled in this study. In all subjects, National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI), International Index of Erectile Function (IIEF) and the frequency of sexual intercourses per month during the last 3 months (F) were checked. Between CPPS patients and controls, scores of 5 domains of IIEF (erectile function: EF, intercourse satisfaction: IS, orgasmic function: OF, sexual desire: SD, overall satisfaction: OS) and F were compared. Erectile dysfunction (defined as < 26 EF domain score) rate was compared between the 2 groups. The CPPS patients were classified according to symptom severity into 3 groups and compared. Results: 289 CPPS patients and 67 controls were eligible for the analysis. F was 4.9, 6.5 for CPPS and control group, respectively (p=0.006). Total IIEF, IS, OF, SD and OS domain scores were lower in CPPS group (p<0.05) but EF domain scores were not different. Erectile dysfunction rate of CPPS and control group was 61.2% and 47.8%, respectively (p=0.043). CPPS patients were sub-classified as mild, moderate, severe symptom groups. The 3 groups were not different in age. In all domains of IIEF and F, no difference was found among the 3 groups. Conclusions: CPPS patients had higher sexual dysfunction rate and less sexual intercourses than healthy controls. But, CPPS symptom severity didn’t influence sexual frequency and dysfunction rate. It needs more extensive studies."

• Keywords: Prostatitis, Pain syndrome, Sexual dysfunction