与慢性前列腺炎/慢性骨盆疼痛综合征 (CP/CPPS) 相关的性功能障碍的患病率:最新的系统审查和元分析
Saad Alshahrani1, Basem A Fathi2, Tamer A Abouelgreed2
1Department of Surgery, Division of Urology, College of Medicine, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia.
Medicina (Kaunas, Lithuania)
|June 27, 2025
概括
性功能障碍,包括勃起功能障碍和早泄,影响超过一半的男性患有慢性前列腺炎/慢性骨盆疼痛综合征 (CP/CPPS). 这一元分析强调了CP/CPPS患者性健康问题的重大负担.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 性医学性医学性医学性医学
- 公共卫生 公共卫生
背景情况:
- 慢性前列腺炎/慢性盆腔疼痛综合征 (CP/CPPS) 是一种普遍的疾病,其特征是显著的泌尿器官症状.
- 性功能障碍是诊断为CP/CPPS的男性常见的和具有影响力的并发症.
研究的目的:
- 确定患有CP/CPPS的男性性功能障碍的整体患病率.
- 具体评估欲望,兴奋,高潮和与疼痛相关的性障碍的普遍性.
- 在这个人群中量化勃起功能障碍 (ED) 和早泄 (PE) 的患病率.
主要方法:
- 系统的文献审查遵循MOOSE指南.
- 在2000年1月至2025年期间,搜索了四个主要的电子数据库 (PubMed,Embase,Web of Science,Google Scholar).
- 包括报告CP/CPPS患者性功能障碍患病率的观察性研究;用于聚合患病率估计的随机效应模型.
主要成果:
- 分析了26项研究,共有20127名参与者.
- 整体性功能障碍的综合患病率为59% (95% CI: 34-81%).
- 勃起功能障碍 (ED) 的综合患病率为34% (95% CI: 26-42%),早泄 (PE) 的患病率为35% (95% CI: 22-49%).
结论:
- 这一元分析证实了CP/CPPS男性性功能障碍的高患病率,包括ED和PE.
- 这些发现强调了与CP/CPPS相关的性健康问题的实质性负担.
- 显著的异质性需要进一步的研究来确定促成因素和指导有针对性的干预措施.
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