Article Data

  • Views 2370
  • Dowloads 138

Original Research

Open Access

RELATIONSHIP BETWEEN THE NATIONAL INSTITUTES OF HEALTH CHRONIC PROSTATITIS SYMPTOM INDEX AND THE INTERNATIONAL PROSTATE SYMPTOM SCORE IN MIDDLE-AGED MEN ACCORDING TO THE PRESENCE OF CHRONIC PROSTATITIS-LIKE SYMPTOMS

  • Min Ho Lee1
  • Deok Ha Seo1
  • Chunwoo Lee1
  • Jae Hwi Choi2
  • Seong Uk Jeh2
  • Sin Woo Lee2
  • See Min Choi2
  • Jeong Seok Hwa2
  • Jae Seog Hyun2
  • Ky Hyun Chung2
  • Sung Chul Kam1

1Department of Urology, College of Medicine, Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea. Department of Urology, Gyeongsang National University Changwon Hospital, Changwon, South Korea

2Department of Urology, Gyeongsang National University Hospital, School of Medicine, Institutes of Health Science, Gyeongsang National University, Jinju, Korea

DOI: 10.15586/jomh.v16i1.193 Vol.16,Issue 1,January 2020 pp.19-26

Published: 09 January 2020

*Corresponding Author(s): Sung Chul Kam E-mail: kamsungchul@hanmail.net

Abstract

Background and objective

The characteristic symptom of chronic prostatitis (CP) is pain. Patients with CP often complain of lower urinary tract symptoms (LUTS); however, the voiding domain of the Chronic Prostatitis Symptom Index of the National Institutes of Health (NIH-CPSI) is not sufficient to evaluate LUTS. Therefore, we studied the relationship between the International Prostate Symptom Score (IPSS) and NIH-CPSI scores in men.

Materials and methods

We reviewed 870 men who visited our health care center for a general health check-up and com-pleted IPSS and NIH-CPSI questionnaires between January 2014 and January 2019. An NIH-CPSI pain score ≥4 was defined as the presence of a prostatitis-like symptom (Group 1), and an NIH-CPSI pain score less than <4 was defined as the absence of a prostatitis-like symptom (Group 2). The relationship between IPSS and NIH-CPSI sub-scores was investigated. The associations between the IPSS total score and NIH-CPSI sub-scores were assessed using multiple linear regres-sion analysis.

Results

The mean IPSS total, voiding, storage, and quality-of-life (QOL) scores were higher in Group 1 than in Group 2. Group 1 had fewer subjects in the mild group and more in the moderate and severe groups than did Group 2. Among NIH-CPSI sub-scores, pain score showed the highest correlation between IPSS total (r=0.283), voiding (r=0.266), storage (r=0.237), and QOL score (r=0.263). In regression analysis, only the NIH-CPSI pain score was associated with the IPSS total score (B=0.962, p<0.001).

Conclusions

The NIH-CPSI pain score showed a weak but statistically significant correlation with the IPSS, but the NIH-CPSI voiding score did not. This finding suggests that patients with CP-like symptoms need to be surveyed using the IPSS questionnaire. It will also be helpful to screen for comorbidities of benign prostatic hyperplasia and CP.

Keywords

prostatitis; lower urinary tract symptoms; questionnaires; prostatic hyperplasia

Cite and Share

Min Ho Lee,Deok Ha Seo,Chunwoo Lee,Jae Hwi Choi,Seong Uk Jeh,Sin Woo Lee,See Min Choi,Jeong Seok Hwa,Jae Seog Hyun,Ky Hyun Chung,Sung Chul Kam. RELATIONSHIP BETWEEN THE NATIONAL INSTITUTES OF HEALTH CHRONIC PROSTATITIS SYMPTOM INDEX AND THE INTERNATIONAL PROSTATE SYMPTOM SCORE IN MIDDLE-AGED MEN ACCORDING TO THE PRESENCE OF CHRONIC PROSTATITIS-LIKE SYMPTOMS. Journal of Men's Health. 2020. 16(1);19-26.

References

1. Ezeanyika LU, Ejike CE, Obidoa O, et al. Prostate disorders in an apparently normal Nigerian population: prevalence. Biokemistri 2006;18(2): 127–32.

2. Zhang SJ, Qian HN, Zhao Y, et al. Relationship between age and prostate size. Asian J Androl 2013;15(1):116–20.

3. Eze BU, Mbaeri TU, Oranusi KC, et al. Correlation between intravesical prostatic protrusion and International Prostate Symptom Score among Nigerian men with benign prostatic hyperplasia. Niger J Clin Pract 2019;22(4):454–9.

4. Barry MJ. Evaluation of symptoms and quality of life in men with benign prostatic hyperplasia. Urology 2001;58(Suppl 6):25–32.

5. Barry MJ, Fowler FJ Jr, O’Leary MP, et al. The American Urological Association symp-tom index for benign prostatic hyperplasia. The measurement committee of the American Urological Association. Urology 1992;148(5): 1549–64.

6. Mizuno T, Hiramatsu I, Aoki Y, et al. Relation between histological prostatitis and lower urinary tract symptoms and erectile function. Prostate Int 2017;5(3):119–23.

7. Krieger JN, Nyberg Jr L, Nickel JC. NIH consen-sus definition and classification of prostatitis. JAMA 1999;282(3):236–7.

8. Woo YN. Prostatitis. Korean J Urol 1999;35(6): 575–85.

9. Litwin M, McNaughton-Collins M, Fowler FJ, et al. The National Institutes of Health Chronic Prostatitis Symptom Index: development and val-idation of a new outcome measure. J Urol 1999; 162(2):369–75.

 10. Nickel JC, Downey J, Hunter D, et al. Prevalence of prostatitis-like symptoms in a population based study using the National Institutes of Health chronic prostatitis symptom index. J Urol 2001;165(3): 842–5.

 11. Liang CZ, Zhang XJ, Hao ZY, et al. An epidemi-ological study of patients with chronic prostatitis. BJU Int 2004;94(4):568–70.

 12. Tran CN, Shoskes DA. Sexual dysfunction in chronic prostatitis/chronic pelvic pain syndrome. World J Urol 2013;31(4):741–6.

 13. Zhang Y, Zheng T, Tu X’an, et al. Erectile dys-function in chronic prostatitis/chronic pelvic pain syndrome: outcomes from a multi-center study and risk factor analysis in a single center. PLoS One 2016;11(4):e0153054.

 14. Li HJ, Kamg DY. Prevalence of sexual dysfunc-tion in men with chronic prostatitis/ chronic pel-vic pain syndrome: a meta-analysis. World J Urol 2016;34(7):1009–17.

 15. Zhang Z, Li Z, Yu Q, et al. The prevalence of and risk factors for prostatitis-like symptoms and its relation to erectile dysfunction in Chinese men. Andrology 2015;3(6):1119–24.

 16. Rubinshtein R, Kuvin JT, Soffler M, et al. Assessment of endothelial function by non-invasive peripheral arterial tonometry predicts late cardiovascular adverse event. Eur Heart J 2010;31(9): 1142–8.

 17. Nickel JC, Tripp DA, Chuai S, et al. Psychosocial variables affect the quality of life of men diag-nosed with chronic prostatitis/chronic pelvic pain syndrome. BJU Int 2008;101(1):59–64.

 18. Cho IC, Kim SB, Kim YS, et al. Analysis of cor-relation between The National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) and International Index of Erectile Function (IIEF-5) among Korean males aged 40–50s. Korean J UTII 2012;7(2):164–71.

 19. Marszalek M, Wehrberger C, Temml C, et al. Chronic pelvic pain and lower urinary tract symp-toms in both sexes: analysis of 2749 participants of an urban health screening project. Eur Urol 2009;55(2):499–507.

 20. Urkmez A, Yuksel OH, Uruc F, et al. The effect of asymptomatic histological prostatitis on sexual function and lower urinary tract symptoms. Arch Esp Urol 2016;69(4):185–91.

 21. Robert G, Descazeaud A, Nicolaiew N, et al. Inflammation in benign prostatic hyperplasia: a 282 patients’ immunohistochemical analysis. Prostate 2009;69(16):1774–80.

 22. Gandaglia G, Briganti A, Gontero P, et al. The role of chronic prostatic inflammation in the pathogenesis and progression of benign pros-tatic hyperplasia (BPH). BJU Int 2013;112(4): 432–41.

 23. Nickel JC, Roehrborn CG, O’Leary MP, et al. The relationship between prostate inflammation and lower urinary tract symptoms: examination of baseline data from the REDUCE trial. Eur Urol 2008;54(6):1379–84.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Directory of Open Access Journals (DOAJ) DOAJ is a unique and extensive index of diverse open access journals from around the world, driven by a growing community, committed to ensuring quality content is freely available online for everyone.

SCImago The SCImago Journal & Country Rank is a publicly available portal that includes the journals and country scientific indicators developed from the information contained in the Scopus® database (Elsevier B.V.)

Publication Forum - JUFO (Federation of Finnish Learned Societies) Publication Forum is a classification of publication channels created by the Finnish scientific community to support the quality assessment of academic research.

Scopus: CiteScore 0.7 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Norwegian Register for Scientific Journals, Series and Publishers Search for publication channels (journals, series and publishers) in the Norwegian Register for Scientific Journals, Series and Publishers to see if they are considered as scientific. (https://kanalregister.hkdir.no/publiseringskanaler/Forside).

Submission Turnaround Time

Conferences

Top