Use of the UPOINT Classification in Turkish Chronic Prostatitis/Chronic Pelvic Pain Syndrome Patients

To determine the positive subdomain numbers and distribution of the UPOINT classification in chronic prostatitis and to compare the erectile dysfunction (ED) pattern.

From 2008 to 2013 between 839 patients with symptomatic chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) were included in this study. The correlation between UPOINT domains and National Institutes of Health chronic prostatitis symptom index (NIH-CPSI) total score,subscores and the 5-item International Index of Erectile Function (IIEF-5) scores were evaluated retrospectively.

The mean patient age was calculated as 37.7 ± 7.4 (range 21-65). The average total NIH-CPSI score was determined as 9.07 (range 1-40) and the average positive UPOINT subdomain number was determined as 2.87±0,32 (range 1-6). Subdomain patient numbers and rates were calculated as 529 Urinary (63%), 462 Psychosocial (55%), 382 Organ specific (45%), 290 Infection (34%), 288 Neurological /systemic (34%) and 418 Tenderness(skeletal muscle) (50%) respectively. It was determined that ED, determining the subdomain of sexual dysfunction in patients was positive in a total of 326 (39.9%) patients, with 220 patients mild (26.2%), 76 patients mild to moderate (9.1%), 19 patients moderate (2.3%) and 5 patients with severe (0.6%) ED. A statistically significant correlation was not determined between IIEF-5 score and UPOINT subdomain number and NIH-CPSI score.

It has been determined that while there is a strong and significant correlation between UPOINT classification and NIH-CPSI score in Turkish patients with CP/CPPS, the inclusion of ED as an independent sub domain to the UPOINT classification is not statistically significant.

Urology. 2016 Jul 27 [Epub ahead of print]

Ersan Arda, Basri Cakiroglu, Tuncay Tas, Sinan Ekici, Bekir Sami Uyanik

Hisar Intercontinental Hospital, Department of Urology, Umraniye, Istanbul/Turkey., Hisar Intercontinental Hospital, Department of Urology, Umraniye, Istanbul/Turkey. Electronic address: ., Esencan Private Hospital Department of Urology, Esenyurt University Istanbul/Turkey., Hisar Intercontinental Hospital, Department of Urology, Umraniye, Istanbul/Turkey., Hisar Intercontinental Hospital Department of Clinical Biochemistry, Umraniye, Istanbul/Turkey.

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