[Influence of chronic prostatitis/chronic pelvic pain syndromes on male health].

Objective:To investigate the influence of chronic prostatitis/chronic pelvic pain syndromes(CP/CPPS)on male health.Methods:We conducted investigations among 200 cases of CP/CPPS,aged 20-59 years and randomly selected from 650 out-patients,using an anonymous questionnaire including such items as the patients' age,height,body weight,disease duration and treatment,the results of EPS and semen determinations,and the scores on NIH-CPSI,IIEF-5 and Symptom Checklist(SCL-90).Results:According to the 198 valid questionnaires collected,CPSI scores showed 56(28.3%)cases to be mild,98(49.5%)moderate and 44(22.2%)severe.Sperm density and motility(grade a + b)were reduced in 38(19.2%)and 47(23.7%)cases,respectively.IIEF-5 revealed ED in 41(20.7%)cases,of which 58.5% were mild.Psychological abnormality was found in 94(47.5%)cases,including anxiety,depression,sensitiveness and so on.NIH-CPSI scores were positively correlated with psychological symptoms and ED(r = 0.25,P 0.05;r = 0.12,P 0.05),but not significantly related with sperm density and motility(P 0.05).Conclusion:The influence of CP/CPPS is obvious on male psychology but mild on penile erection and not significant on semen.Integrated physiological and psychological therapy is recommended for the treatment of CP/CPPS.