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Updated: Oct 4, 2025

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Clinical features and urodynamic findings in elderly men with chronic prostatitis
Yoshihisa Matsukawa1, Yasuhito Funahashi1, Shohei Ishida1
1Department of Urology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Chronic prostatitis significantly impacts bladder storage function in men with lower urinary tract symptoms. Low testosterone and hyperlipidemia are linked to developing this condition.
Area of Science:
- Urology
- Andrology
Background:
- Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common condition causing pelvic pain and lower urinary tract symptoms (LUTS).
- Understanding the urodynamic characteristics and associated factors of CP/CPPS in men with LUTS is crucial for effective management.
Purpose of the Study:
- To investigate the complication rate of CP/CPPS in men presenting with LUTS.
- To clarify the clinical features and urodynamic findings in men with CP/CPPS and LUTS.
Main Methods:
- Retrospective review of treatment-naïve men with LUTS.
- Patients were categorized into CP/CPPS + LUTS and LUTS only groups.
- Comparison of clinical characteristics, LUTS parameters, and urodynamic findings, including diagnostic criteria for CP/CPPS.
Main Results:
- 123 out of 386 men (31.9%) had CP/CPPS.
- CP/CPPS + LUTS group showed significantly higher LUTS parameters and NIH-CPSI scores.
- Reduced storage function (detrusor overactivity, decreased bladder compliance) was observed in the CP/CPPS + LUTS group, with no significant differences in voiding parameters.
Conclusions:
- CP/CPPS significantly impairs bladder storage function, characterized by increased detrusor overactivity.
- Low serum total testosterone and hyperlipidemia are significantly associated with the development of CP/CPPS in men with LUTS.
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