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Prostatite chronique, syndrome douloureux pelvien chronique et dysfonctions sexuelles

Chronic prostatitis, chronic pelvic pain syndrome and sexual dysfunction

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En 1995 le NIH (National Institutes of Health, USA) a proposé une nouvelle classification des prostatites chroniques (PC) avec pour objectif de sortir cette pathologie du cadre strict de la prostate et de la recentrer sur la notion de douleur pelvienne. Cette classification a introduit la terminologie de syndrome douloureux pelvien chronique (SDPC). La définition de ce syndrome précise qu’aux douleurs s’associent parfois des troubles sexuels.

De nombreuses enquêtes ont montré des prévalences de PC/SDPC non négligeables et confirmé leur impact sur la qualité de vie, mais actuellement les données épidémiologiques concernant les liens entre PC/SDPC et sexualité sont encore limitées.

La physiopathologie des dysfonctions sexuelles associées aux PC/SDPC (altération du désir, dysfonction érectile et éjaculation prématurée) reste par ailleurs imprécise. Une implication psychologique est très probable, mais beaucoup d’incertitudes persistent sur d’autres mécanismes éventuellement en cause.

Abstract

In 1995, the NIH (National Institutes of Health, USA) proposed a new classification of chronic prostatitis (CP), no longer considered in the strict framework of the prostate, but based on the concept of pelvic pain. This classification introduced the term chronic pelvic pain syndrome (CPPS). The definition of this syndrome indicates that pain is sometimes associated with sexual disorders.

Many surveys have demonstrated the considerable prevalence of CP/CPPS and have confirmed the impact of these diseases on quality of life, but only limited epidemiological data concerning the links between CP/CPPS and sexuality are available at the present time. The pathophysiology of sexual dysfunction associated with CP/CPPS (alteration of desire, erectile dysfunction and premature ejaculation) also remains poorly elucidated. A psychological factor is very probably involved, but many uncertainties persist concerning the other mechanisms possibly involved.

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Correspondence to Dominique Delavierre.

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Delavierre, D. Prostatite chronique, syndrome douloureux pelvien chronique et dysfonctions sexuelles. Androl. 17, 19–24 (2007) doi:10.1007/BF03041152

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Key-Words

  • prostatitis
  • pelvic pain
  • sexual dysfunction
  • erectile dysfunction
  • premature ejaculation

Mots-clés

  • prostatite
  • douleur pelvienne
  • dysfonction sexuelle
  • dysfonction erectile
  • ejaculation prématurée