The Impact of Prostatic Calculi on Chronic Pelvic Pain, Voiding and Sexual Functions

Purpose: To examine the clinical implications of prostatic calculi in terms of links to chronic pelvic pain, voiding and sexual functions. Methods: 60 adult males were recruited for this study. The parameters recorded were: age, weight, height, Body Mass Index (BMI) calculated as the weight in kilograms divided by the square of the height in meters, Waist Circumference (WC), Lower Urinary Tract Symptoms (LUTS), Sexual dysfunction [both Erectile Dysfunction (ED) and Premature Ejaculation (PE)] , and symptoms suggestive of chronic prostatitis(CP); Diabetes Mellitus type 2 (D.M. 2) in addition to urine analysis and microbiological culture, serum Prostatic Specific Antigen (PSA), serum total testosterone(TT), maximum flow rate (Q-max), Prostatic ultra-sonographic evidence of prostate calculi and Prostate Volume (PV) as measured by ultrasonography. Those calculi were categorized according to severity into minimal, moderate, severe and extensive calculi. Statistical analysis: This study used IBM SPSS version 20, used descriptive statistics, used independent t-test for comparing group means, and chi-square test for establishing relationship between categorical variables. With p-value < 0.05 accepted as significant and with a 95% confidence interval. Results: Among all the test comparison that has been done in this study, only the degree (severity of amount) of calculi showed significant results between the two groups described (p=< 0.0001). All other parameters did not show any significant differences. Conclusions: This study found no significant differences in chronic pelvic pain, voiding and sexual dysfunctions (ED and PE) between middle-aged men with prostatic calculi as compared to those without them.