|
Yavascaoglu I, Oktay B, Simsek U, Ozyurt M
Uludag University Department of Urology, Bursa, Turkey.
ismet@uludag.edu.tr |
| Background
: |
| Chronic non-bacterial prostatitis (NBP) is the most
common prostatitis syndrome. Prevention and cure are not
possible because the cause of NBP is unknown. However, patients
may benefit from supportive measures. The impact of the
frequency of ejaculation alone on the course of NBP was
evaluated in the present study. |
| Methods:
|
| Thirty-four single male
patients who avoided masturbation and extramarital sexual
intercourse for personal and/or religious beliefs and who did
not respond to a clinical trial of doxycycline hydrochloride
therapy (200 mg daily for 4 weeks) directed against mycoplasmas,
chlamydiac and ureaplasmas were enrolled in the study. They were
encouraged to masturbate regularly at least twice a week and
were re-evaluated at the end of a 6 month period, including a
complete inquiry regarding their sexual function during this
time. Response was assessed by a symptom severity index. |
| Results:
|
| Clinical and laboratory re-evaluation could be
performed in 28 patients. Of 18 patients who adhered to the
recommendations, two (11%) experienced complete relief of
symptoms, whereas six (33%) had marked improvement, six had
moderate improvement and four (22%) did not benefit. In
contrast, three of seven patients who masturbated less
frequently reported partial improvement. Three patients who did
not ejaculate other than during wet dreams had a worse
prognosis. |
| Conclusions:
|
| Young men who are single and suffering
from NBP must be informed about their illness in detail and, if
they are not doing so, they should be encouraged to ejaculate
regularly, for example by masturbation in the absence of a
sexual relationship with a partner. We believe that normal
sexual activity decreases the incidence of NBP in some cases. |
| Int J Urol 1999 Mar;6(3):130-4
|
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