Evidence map›Paper›PMID 15310980›Full record

ReviewThe Journal of urology2004

Mechanisms in prostatitis/chronic pelvic pain syndrome.

Michel A Pontari, Michael R Ruggieri

Abstract readReview
In one paragraph

Review in The Journal of urology, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 2 pooled it
15.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 2 syntheses or guidelines pooled it, 354 citations in OpenAlex.

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  17. Chronic Primary Pelvic Pain Syndrome in Men.Deutsches Arzteblatt international · 2023
    Review
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  19. Article
  20. Article

29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Michel A PontariDepartment of Urology, Temple University School of Medicine, 3401 N. Broad Street, Philadelphia, PA 19140, USA. Pontarm@tuhs.temple.edu
Michael R Ruggieri
Temple University · US

Funding

Chronic Prostatitis Collaborative Research NetworkU01DK065186 · NIDDK · TEMPLE UNIV OF THE COMMONWEALTH · PI PONTARI, MICHEL · 2003 to 2007
$1.2M
CHRONIC PROSTATITIS CLINICAL RESEARCH CENTERU01DK053734 · NIDDK · TEMPLE UNIVERSITY · PI PONTARI, MICHEL · 2000 to 2001
$779k
NIDDK NIH HHS U01 DK053734NIDDK NIH HHS U01 DK065186
6 · The paper itself

Abstract

purposeWe reviewed the current literature on mechanisms involved in the pathogenesis of prostatitis/chronic pelvic pain syndrome (CPPS). MATERIALS AND

methodsA literature review for the years 1966 to 2003 was performed using the MEDLINE database of the United States National Library of Medicine.

resultsNational Institutes of Health categories I and II prostatitis result from identifiable prostatic infections, whereas patients with category IV are asymptomatic. The majority of symptomatic cases are category III or chronic prostatitis (CP)/CPPS. The etiology of CP/CPPS is unknown. The traditional marker of inflammation, namely white blood cells in prostatic fluids, does not correlate with the predominant symptom of pelvic pain. An imbalance toward increased proinflammatory and decreased anti-inflammatory cytokines has been implicated and a few studies have shown some correlation of this with pelvic pain. The imbalance in some men may result from polymorphisms at the cytokine loci. An autoimmune process may be involved and experimental evidence indicates that this can be under hormonal influence. Recent findings include possible defects in the androgen receptor. The prostate may not even be the source of the symptoms. Pelvic pain also correlates with the neurotrophin nerve growth factor implicated in neurogenic inflammation and central sensitization. Finally, psychological stress may produce measurable biochemical changes and influence the other processes. The role of normal prostatic bacterial flora in inciting the inflammatory response has also been reconsidered.

conclusionsThe symptoms of CP/CPPS appear to result from an interplay between psychological factors and dysfunction in the immune, neurological and endocrine systems.

Indexed as

AnimalsAutoimmune DiseasesChronic DiseaseCytokinesGonadal Steroid HormonesHumansInflammation MediatorsMaleNervous SystemPelvic PainProstatitisStress, PsychologicalCytokinesGonadal Steroid HormonesInflammation Mediators

Identifiers

PMID15310980
PMCPMC3591463
OpenAlexW2032419998

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.