The Influence Of Smoking On Prostatitis-Like Symptoms

Purpose:To investigate the relationship between smoking and chronic prostatitis-like symptoms and the QOL of patients with CP using a questionnaire in a population-based Chinese males.Material and Methods:3346 Chinese males collected from the Fangchenggang Males Health and Examination Survey:a regional representative study. Men who completed questionnaire were analyzed for the following parameters:sociodemographics, lifestyle, and score of NIH-CPSI.Results:A similar distribution was observed in smokers and nonsmokers for men with or without CP/CPPS (P=0.798). No significant differences were observed in mild, moderate or severe pain score levels between smokers and nonsmokers. However, we observed a difference between satisfied and dissatisfied in the QOL (P=0.046). No significant difference was observed in the mean values of pain, urinary problem, quality of life, and CPSI score between nonsmokers and smokers in men with CP/CPPS. Lower urinary problems were seen in the smokers compared to the nonsmokers (P=0.002). No differences in pain score (P=0.062) and urinary problems (P=0.184) were found in different pack-year groups (≤4.5,4.6-11,12-21, and≥21). However, the QOL (P=0.015) and the CPSI score (P=0.014) showed a significant difference in three pack-years groups compared to the reference group (≤4.5). The tendency of the pain score, urinary score, quality of life, and CPSI score was growing with the smoking amount increasing.Conclusions:Cigarette smoking may not play a individual role in prostatitis-like symptoms'occurrence, with the amount of smoking increasing, the prostatitis-like symptoms aggravated. Whether a given amount of cigarette smoking could lighten the symptoms of prostatitis needs more research to improve.