Objective: To study the psychological factors and erectile function in patients with refractory chronic prostatitis.

Methods: We obtained and compared the scores on the NIH scales of chronic prostatitis symptoms, anxiety, depression and erectile function among 232 refractory and medical chronic prostatitis patients who had never received any psychotherapy.

Results: No significant differences were observed in the scores on chronic prostatitis symptoms between the refractory and the medical chronic prostatitis groups, while the scores on anxiety and depression were significantly higher and that on erectile function significantly lower in the refractory than in the medical group (P < 0.01), with a negative correlation between the scores on the former two items and that on the latter.

Conclusion: Obvious psychological factors exist in patients with refractory chronic prostatitis, which may affect their erectile function.

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