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Prostatitis Foundation

Third International Chronic Prostatitis Network

One year experience of using the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) for diagnosis and survey of Chronic Prostatitis/ Chronic Pelvic Pain Syndrome (CP/CPPS)

A, Mehik, P. Hellstršm, O. Lukkarinen, A. Sarpola (Oulu) and M. Leskinen (SeinŠjoki), Finland
Introduction & Objective
The NIH-CPSI was introduced and recommended for clinical use in 1999. The aim of the present study was to analyse the experience of using this questionnaire in the daily work at 2 different urology outpatient departments.
The translation and validation of the NIH-CPSI in Finnish was done between June- August 1999. The survey was carried out between September 1999 and August 2000 when all consecutive patients with CP/CPPS filled the questionnaire. The patients also gave a subjective assessment of the accuracy and feasibility of the questionnaire in a scale from 5 (excellent) to 1 (poor). An independent doctor checked the patients' medical records and the questionnaires and gave the same assessment. The material includes altogether 155 consecutive patients with CP/CPPS (categories IIIA and IIIB). Age distribution was as follows: 16 (10%) between 20-34, 37 (24%) between 35-49, 73 (47%) between 50-64 and 29 (19%) between 65-79 years. 118 patients (76%) had an outdoor work.
The mean sum of the NIH-CPSI scores was 20 (range 0-38), the mean pain score 10 (range 0-18), the mean score of voiding disturbances 4 (range 0-10) and the mean score for quality of life 5 (range 0-18). 114 patients (74%) localized one maximum pain area, 31 (20%) 2 areas and 9 (6%) had pain in 3 different areas. Pain was localized mainly in the lower abdomen, perineal area and groins. 91 patients (58.7%) visited outpatient department in wintertime (November-March), 26 (16.8%) in spring, 34 (21.9%) in summer and only 4 (2.6%) in autumn. Duration of CP/CPPS: 0-4 years 32%, 5-9 years 15%, 10-14 years 23% and over 15 years 30%. The patients' subjective assess-ment about the questionnaire was 5 points in 40% and 4 points in 41% cases (the physician's figures were respectively 36 and 54%).
This one year survey showed good correlation between patients' symptoms and signs and the NIH-CPSI. During wintertime there is in Finland a peak for exacerbation and recurrences of CP/CPPS.

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