Chronic pelvic pain in men is associated with significant sexual dysfunction. Material and methods: Prospective study of 36 patients who underwent our given protocol comprising medical history, laboratory and physical examination. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) were used to document the severity/ frequency of pain, urinary and sexual symptoms. Subjective symptoms were scored by general assessment questions included loss of libido, quality of erection and pain on ejaculation too. Results: 36 patients with CP/CPPS 30 (83.3%) reported sexual dysfunction. NIH-CPSI total score with sexual dysfunction was (16-41) compared with (11-22) for patients without sexual dysfunction. At baseline 30 men with sexual dysfunction including only erectile dysfunction in 9 (30%), only ejaculatory difficulties in 9 (30%), both difficulties in 12 (40%), decreased libido in 24 (80%) and ejaculatory pain in 21 (70%). Patients reporting both erectile dysfunction and ejaculatory difficulty reported worse CP/CPPS symptoms than patients without sexual dysfunction. Conclusions: The impact of chronic pelvic pain syndrome on sexual function in men is underestimated. Men with erectile and ejaculatory dysfunction had more severe CPSI scores than men without such complaints. The presence of erectile and ejaculation dysfunction was related to significantly higher scores for domains of pain and quality of life. Sexual dysfunction merits consideration as an important aspect of CP/CPPS and potential outcome measure.

Deparment of Urology 3rd Faculty of Medicine and Teaching Hospital Kralovske Vinohrady Charles University Prague

3. český a mezinárodní andrologický kongres, Štiřín, 13.-15.6.2008