Laparoscopic Prostate Removal
for Severe, Treatment-Resistant
Chronic Prostatitis

                                                                            

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Abuse

sexual, physica, emotional abuse; symptoms of chronic pelvic pain syndrome (chronic prostatitis)There is a reasonably well characterized association of abuse with pelvic pain in women, as well as muscle pain and intestinal pain. Abuse in women is also associated with higher likelihood of attempts at committing suicide, abuse of various substances, medical emergencies, and hospitalization for psychiatric problems. A history of abuse can reduce the chances of effectively treating pain in women.

As a general background, one should note that the prevalence of sexual, emotional, and physical abuse is not insubstantial. While it is generally higher among women, men are also so victimized. In men, there is an association with chronic pain, e.g. irritable bowels, in men.

In 2007, a study found that a self-reported history of abuse is associated with increased likelihood of pelvic pain in men. This study of male pelvic pain is unusual in that rather than relying on office or hospital based cohorst of patients it was based upon data commected from a multi-racial, multi-ethnic, community-based group of men living in Boston. The overall likelihood of prostatitis/pelvic pain symptoms as approximately 7 percent. With a history of sexual, physical, or emotional abuse, there was an approximate 2-3 fold higher likelihood of prostatitis/pelvic pain symptoms.

The study by no means demostrates a cause-and-effect relationship between abuse and prostatitis symptoms. However, its findings do suggest that doctors consider investigating the history of abuse and/or concurrent emotional dysfunction in men presenting with prostatitis symptoms.
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