Sunday, September 6, 2009

Patient reported frequency and severity of urological symptoms

Presenting symptoms (described by patients and recorded by urologists) in 1074 patients with prostatitis.(1)

SymptomN (%)
Frequency689 (64.2)
Obstructive voiding675 (62.8)
Perineal pain or discomfort630 (58.7)
Suprapubic pain or discomfort492 (45.8)
Penile pain or discomfort360 (33.5)
Premature ejaculation305 (28.4)
Malaise229 (21.3)
Urethral discharge220 (20.5)
Inguinal pain or discomfort216 (20.1)
Erectile dysfunction205 (19.1)
Haematospermia169 (15.7)
Voiding difficulties162 (15.1)
Fever159 (14.8)
Purulent urine150 (14.0)
Abnormal seminal fluid 97 (9.0)
Myalgia 64 (6.0)
Abnormal urine (mucus) 61 (5.7)
Haematuria 46 (4.3)


Mean (sd) score
frequencyseverity
Penile pain or discomfort55.2 (386/699)1.3 (1.4)3.1 (2.7)
Perineal pain or discomfort81.6 (666/816)2.2 (1.3)4.5 (2.5)
Suprapubic pain or discomfort74.6 (561/779)2.0 (1.4)4.3 (2.5)
Ejaculatory pain or discomfort63.9 (461/721)1.4 (1.3)3.3 (2.4)
Testicular pain or discomfort43.9 (302/688)0.9 (1.2)2.5 (2.5)
Lumbar/inguinal/thigh pain35.4 (240/678)0.8 (1.3)2.3 (2.8)
or discomfort
Incomplete bladder emptying72.8 (541/743)1.8 (1.4)3.7 (2.7)
Burning during micturition81.7 (652/798)2.0 (1.3)4.2 (2.5)
Urgency72.4 (514/710)1.7 (1.4)3.9 (2.8)
Urinary frequency86.4 (717/830)2.4 (1.4)5.0 (2.7)

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(1) Rizzo M, Marchetti F, Travaglini F, Trinchieri A, Nickel JC. Prevalence, diagnosis and treatment of prostatitis in Italy: a prospective urology outpatient practice study. BJU Int 92(9):955-959, 2003.

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