Update on Urologic Pelvic Pain Syndromes

[webslave]

This is a must-read:
http://www.ncbi.nlm.nih.gov/pmc/article ... ool=pubmed

[superuse]

The epidemiology of CP/CPPS suggests that, in some men, it may progress along with other systemic diseases. In the National Institutes of Health (NIH)-sponsored Chronic Prostatitis Cohort study, men with CP/CPPS were six times more likely to report a history of cardiovascular disease than age-matched asymptomatic controls. They were five times more likely to report a history of neurologic disease, and twice as likely to report sinusitis and anxiety/depression.6 A recent review of the overlap between CP/CPPS, IC/PBS, and systemic pain conditions such as IBS, fibromyalgia, and chronic fatigue syndrome (CFS) found that 21% of men with CPPS report a history of musculoskeletal, rheumatologic, or connective tissue disorder. Men with CP/CPPS report CFS twice as often as asymptomatic controls, and 19% to 79% of men with CPPS report IBS or IBS symptoms.7 The conclusion from these findings is that, in some men, CP/CPPS may be part of systemic pain syndrome.

Thats pretty odd. I would expect the 400-500% more likely to have anxiety /depression- Ibs or fibromyalgia(cfs) than the other stuff. Is the cardiovascular or neurological disease a family history or personal history?

Really, from reading here, and other pelvic pain cases, I don't often see 30 and 40 year olds (most posts) with cardiovascular disease or MS,Muscular Dystrophy, etc before or after onset. That 500% is a huge margin, much more than a 20% or so increase over controls. I really don't know exactly what population they're looking at.

--jjf

This is a must-read:
http://www.ncbi.nlm.nih.gov/pmc/article ... ool=pubmed