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Chlamydia trachomatis infection is related to premature ejaculation in chronic prostatitis patients: results from a cross-sectional study

(2014) JOURNAL OF SEXUAL MEDICINE. 11(12). p.3085-3092
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Organization
Abstract
Introduction: Chronic bacterial prostatitis (CBP) is reported to be a common finding in men with acquired premature ejaculation (PE). The impact of different pathogens on PE development in chronic prostatitis patients is, however, unknown. Aim: To assess a possible link between CBP caused by Chlamydia trachomatis (Ct) and PE. Methods: A consecutive series of 317 patients with clinical and instrumental diagnosis of CBP due to Ct was enrolled (group A) and compared with data obtained from a control group of 639 patients with CBP caused by common uropathogen bacteria (group B). Prostatitis symptoms were investigated with the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI), while the ejaculatory status of patients was assessed using the PE Diagnostic Tool (PEDT). Main Outcome Measures: All participants were asked to complete the NIH-CPSI, the International Index of Erectile Function-15 erectile function domain (IIEF-15-EFD), the PEDT, and the Short Form (SF)-36 questionnaires. Results: Patient groups A and B had comparable scores of NIH-CPSI (P=0.07), IPSS (P=0.32), and IIEF-15-EFD (P=0.33) tests. PE was assessed in 118 patients in group A (37.2%) and in 73 subjects in group B (11.5%). The two groups are different in terms of PE prevalence (P<0.0002). Compared with group B, group A showed significantly higher scores of the PEDT test (11.3 [2.6] vs. 4.5 [+/- 2.9], P<0.0001) and lower scores of the SF-36 tool (96.5 [+/- 1.1] vs. 99.7 [+/- 1.3], P<0.0001). In our multivariate model assessment, being positive for a Ct infection marker was independently associated with the PEDT score even after adjusting for age, smoking habit, body mass index, and education level (adjusted odds ratio=3.21; 95% confidence interval: 2.02-4.27; P<0.003). Conclusions: Patients affected by CBP due to Ct infection reported higher prevalence of PE and lower quality of life when compared with patients affected by CBP caused by traditional uropathogenic bacteria.
Keywords
HEALTH SURVEY, Chlamydiatrachomatis, CHINESE MEN, PREVALENCE, TRANSLATION, VALIDATION, SYMPTOMS, INDEX, SEXUAL DYSFUNCTION, MALE GENITAL-TRACT, PELVIC PAIN SYNDROME, PEDT, NIH-CPSI, Quality of Life, Premature Ejaculation, Acquired Early Ejaculation

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MLA
Cai, Tommaso et al. “Chlamydia Trachomatis Infection Is Related to Premature Ejaculation in Chronic Prostatitis Patients: Results from a Cross-sectional Study.” JOURNAL OF SEXUAL MEDICINE 11.12 (2014): 3085–3092. Print.
APA
Cai, Tommaso, Pisano, F., Magri, V., Verze, P., Mondaini, N., D’Elia, C., Malossini, G., et al. (2014). Chlamydia trachomatis infection is related to premature ejaculation in chronic prostatitis patients: results from a cross-sectional study. JOURNAL OF SEXUAL MEDICINE, 11(12), 3085–3092.
Chicago author-date
Cai, Tommaso, Francesca Pisano, Vittorio Magri, Paolo Verze, Nicola Mondaini, Carolina D’Elia, Gianni Malossini, et al. 2014. “Chlamydia Trachomatis Infection Is Related to Premature Ejaculation in Chronic Prostatitis Patients: Results from a Cross-sectional Study.” Journal of Sexual Medicine 11 (12): 3085–3092.
Chicago author-date (all authors)
Cai, Tommaso, Francesca Pisano, Vittorio Magri, Paolo Verze, Nicola Mondaini, Carolina D’Elia, Gianni Malossini, Sandra Mazzoli, Gianpaolo Perletti, Paolo Gontero, Vincenzo Mirone, and Riccardo Bartoletti. 2014. “Chlamydia Trachomatis Infection Is Related to Premature Ejaculation in Chronic Prostatitis Patients: Results from a Cross-sectional Study.” Journal of Sexual Medicine 11 (12): 3085–3092.
Vancouver
1.
Cai T, Pisano F, Magri V, Verze P, Mondaini N, D’Elia C, et al. Chlamydia trachomatis infection is related to premature ejaculation in chronic prostatitis patients: results from a cross-sectional study. JOURNAL OF SEXUAL MEDICINE. 2014;11(12):3085–92.
IEEE
[1]
T. Cai et al., “Chlamydia trachomatis infection is related to premature ejaculation in chronic prostatitis patients: results from a cross-sectional study,” JOURNAL OF SEXUAL MEDICINE, vol. 11, no. 12, pp. 3085–3092, 2014.
@article{7077970,
  abstract     = {Introduction: Chronic bacterial prostatitis (CBP) is reported to be a common finding in men with acquired premature ejaculation (PE). The impact of different pathogens on PE development in chronic prostatitis patients is, however, unknown. 
Aim: To assess a possible link between CBP caused by Chlamydia trachomatis (Ct) and PE. 
Methods: A consecutive series of 317 patients with clinical and instrumental diagnosis of CBP due to Ct was enrolled (group A) and compared with data obtained from a control group of 639 patients with CBP caused by common uropathogen bacteria (group B). Prostatitis symptoms were investigated with the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI), while the ejaculatory status of patients was assessed using the PE Diagnostic Tool (PEDT). 
Main Outcome Measures: All participants were asked to complete the NIH-CPSI, the International Index of Erectile Function-15 erectile function domain (IIEF-15-EFD), the PEDT, and the Short Form (SF)-36 questionnaires. 
Results: Patient groups A and B had comparable scores of NIH-CPSI (P=0.07), IPSS (P=0.32), and IIEF-15-EFD (P=0.33) tests. PE was assessed in 118 patients in group A (37.2%) and in 73 subjects in group B (11.5%). The two groups are different in terms of PE prevalence (P<0.0002). Compared with group B, group A showed significantly higher scores of the PEDT test (11.3 [2.6] vs. 4.5 [+/- 2.9], P<0.0001) and lower scores of the SF-36 tool (96.5 [+/- 1.1] vs. 99.7 [+/- 1.3], P<0.0001). In our multivariate model assessment, being positive for a Ct infection marker was independently associated with the PEDT score even after adjusting for age, smoking habit, body mass index, and education level (adjusted odds ratio=3.21; 95% confidence interval: 2.02-4.27; P<0.003). 
Conclusions: Patients affected by CBP due to Ct infection reported higher prevalence of PE and lower quality of life when compared with patients affected by CBP caused by traditional uropathogenic bacteria.},
  author       = {Cai, Tommaso and Pisano, Francesca and Magri, Vittorio and Verze, Paolo and Mondaini, Nicola and D'Elia, Carolina and Malossini, Gianni and Mazzoli, Sandra and Perletti, Gianpaolo and Gontero, Paolo and Mirone, Vincenzo and Bartoletti, Riccardo},
  issn         = {1743-6095},
  journal      = {JOURNAL OF SEXUAL MEDICINE},
  keywords     = {HEALTH SURVEY,Chlamydiatrachomatis,CHINESE MEN,PREVALENCE,TRANSLATION,VALIDATION,SYMPTOMS,INDEX,SEXUAL DYSFUNCTION,MALE GENITAL-TRACT,PELVIC PAIN SYNDROME,PEDT,NIH-CPSI,Quality of Life,Premature Ejaculation,Acquired Early Ejaculation},
  language     = {eng},
  number       = {12},
  pages        = {3085--3092},
  title        = {Chlamydia trachomatis infection is related to premature ejaculation in chronic prostatitis patients: results from a cross-sectional study},
  url          = {http://dx.doi.org/10.1111/jsm.12699},
  volume       = {11},
  year         = {2014},
}

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