Adverse impact of sexual dysfunction in CPPS

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Urology. 2008 Jan;71(1):79-84.

Adverse impact of sexual dysfunction in chronic prostatitis/chronic pelvic pain syndrome.

Lee SW, Liong ML, Yuen KH, Leong WS, Cheah PY, Khan NA, Krieger JN.
School of Pharmaceutical Sciences, University of Science Malaysia, Penang, Malaysia.

OBJECTIVES: To examine the prevalence, characteristics, and impact of sexual dysfunction in our primary care referral population.

METHODS: Participants seeking treatment for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) were recruited from general urology clinics. The subjects completed the National Institutes of Health-Chronic Prostatitis Symptom Index, International Index of Erectile Function-5, and selected questions from the University of Washington Symptom Score. Additional information on demographics and medical and treatment history were also obtained. Sexual dysfunction was defined as self-reported erectile dysfunction (ED) or ejaculatory difficulty, or both.

RESULTS: Of 296 participants with CP/CPPS, 214 (72.3%) reported sexual dysfunction. The National Institutes of Health-Chronic Prostatitis Symptom Index total score averaged 22.5 +/- 6.9 for participants with sexual dysfunction compared with 20.4 +/- 7.8 for participants who did not report sexual dysfunction (P = 0.03). Of the 214 participants with sexual dysfunction, 54 (25.0%) complained of ED only, 71 (33.4%) complained of ejaculatory difficulties only, and 89 (41.6%) complained of both ED and ejaculatory difficulties. Men reporting both ED and ejaculatory difficulty reported worse CP/CPPS symptoms (analysis of variance, P = 0.042) and worse quality of life (analysis of variance, P = 0.006) than men without sexual dysfunction.

CONCLUSIONS: Sexual dysfunction was reported by almost three quarters of patients with CP/CPPS. Patients with CP/CPPS and sexual dysfunction experienced substantially worse symptoms, particularly worse quality of life, than other patients with CP/CPPS. Sexual dysfunction merits consideration as an important aspect of CP/CPPS and a potential outcome measure.

PMID: 18242370 [PubMed - in process]

[garyholc]

What I want to know though is - is this reversible?

[DavidinLA]

What I want to know though is - is this reversible?

See viewtopic.php?f=4&t=4056&p=21346

I have had times when I have barely been able to get it up to the point where I thought it was hopeless. Lately, I sometimes get morning wood to the point where I have to settle down before I can go outside and be presentable. Therefore I have to think that for most of us, this is reversible by stopping what is inhibiting the erections. I have also noticed that I have my easiest time in the morning but tends to get more difficult as the day goes on.