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Original Research

Urodynamic findings ın patients with category IIIB chronic pelvic pain syndrome


Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi


DOI :
New J Urol. 2013; 8 (1): 22-28

Abstract

Objective: To investigate the urody-namic characteristics of patients with non-inflammatory chronic pelvic pain syndrome (CPPS) and compare them to published studi-es in the literature.

Materials and Methods: In total, betwe-en 18-45 age, 40 patients diagnosed with cate-gory IIIB CPPS has been included to our study. National Institute of Health-Chronic Prostati-tis Symptom Index (NIH-CPSI) score was fil-led up and a urinary ultrasound was performed for prostate volume and postmictional bladder volume measurement. All patients had a urody-namic examination, to assess the uroflow cur-ve, maximum urinary flow rate (Q(max)), ma-ximum detrusor pressure during the storage phase (Pdet.Qmax), maximum urethral pres-sure (MUP) and the maximum urethral closu-re pressure (MUCP). Student’s t-test and chi-square test was used for statistical analysis. Sta-tistical significance was considered at p<0.05.

Results: The mean age was 29.4±5.1 and the mean symptom time was 8.65 months.The mean Qmax, mean prostate volüme, mean cystometric capacity, mean postmictional blad-der volume were 18.6mL/sec, 16.9 mL, 476 mL, 24.9 mL, respectively. Eleven patients had blad-der neck obstruction findings (27.5%). These 11 patients (Group 1) was compared to the other 29 patients (Group 2). There was no statistical significance between the two groups in terms of NIH-CPSI scores, quality of life scores and vo-iding scores (p>0.05). But in group 1, pain sco-re was significantly lower compared to group 2 (p<0.05). Qave and Qmax levels were signifi-cantly lower in group 1 while Pdet.Qmax value was higher compared to the other group (p<0.05).

Conclusion: CPPS is the most common urologic diagnosis in men older than age 50 years and is the third most common diag-nosis in men younger than age 50 years. Despite of this high occu-rance the etiology is still remain unknown. It is suggested to be tre-ated with prophilactic antibiotic  in many cases. However, we must consider that the CPPS symptoms may reduce in about 30% of pa-tients within a year.

Key Words: Category IIIB, chronic prostatitis, urodynamics.


Abstract

Objective: To investigate the urody-namic characteristics of patients with non-inflammatory chronic pelvic pain syndrome (CPPS) and compare them to published studi-es in the literature.

Materials and Methods: In total, betwe-en 18-45 age, 40 patients diagnosed with cate-gory IIIB CPPS has been included to our study. National Institute of Health-Chronic Prostati-tis Symptom Index (NIH-CPSI) score was fil-led up and a urinary ultrasound was performed for prostate volume and postmictional bladder volume measurement. All patients had a urody-namic examination, to assess the uroflow cur-ve, maximum urinary flow rate (Q(max)), ma-ximum detrusor pressure during the storage phase (Pdet.Qmax), maximum urethral pres-sure (MUP) and the maximum urethral closu-re pressure (MUCP). Student’s t-test and chi-square test was used for statistical analysis. Sta-tistical significance was considered at p<0.05.

Results: The mean age was 29.4±5.1 and the mean symptom time was 8.65 months.The mean Qmax, mean prostate volüme, mean cystometric capacity, mean postmictional blad-der volume were 18.6mL/sec, 16.9 mL, 476 mL, 24.9 mL, respectively. Eleven patients had blad-der neck obstruction findings (27.5%). These 11 patients (Group 1) was compared to the other 29 patients (Group 2). There was no statistical significance between the two groups in terms of NIH-CPSI scores, quality of life scores and vo-iding scores (p>0.05). But in group 1, pain sco-re was significantly lower compared to group 2 (p<0.05). Qave and Qmax levels were signifi-cantly lower in group 1 while Pdet.Qmax value was higher compared to the other group (p<0.05).

Conclusion: CPPS is the most common urologic diagnosis in men older than age 50 years and is the third most common diag-nosis in men younger than age 50 years. Despite of this high occu-rance the etiology is still remain unknown. It is suggested to be tre-ated with prophilactic antibiotic  in many cases. However, we must consider that the CPPS symptoms may reduce in about 30% of pa-tients within a year.

Key Words: Category IIIB, chronic prostatitis, urodynamics.

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