Medicine:Urologic chronic pelvic pain syndrome

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Short description: Medical condition

Urologic chronic pelvic pain syndrome (UCPPS) is ongoing bladder pain in either sex, chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) in men and interstitial cystitis[1][2][3] or painful bladder syndrome (IC/PBS) in women.[4][5]

It was coined as an umbrella term for use in research into urologic pain syndromes in men and women.

Treatment

Multimodal therapy is the most successful treatment option in chronic pelvic pain,[6] and includes physical therapy,[7] myofascial trigger point release,[7] relaxation techniques,[7] α-blockers,[8] and phytotherapy.[9][10] The UPOINT diagnostic approach suggests that antibiotics are not recommended unless there is clear evidence of infection.[11]

Research

In 2007, the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the United States National Institutes of Health (NIH), began using UCPPS as a term to refer to chronic pelvic pain syndromes (interstitial cystitis|interstitial cystitis/bladder pain syndrome (IC/BPS) in women and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) in men).[12]

MAPP Research Network

The NIDDK established the Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Research Network in 2008.[13]

MAPP Network scientists use a whole–body, systemic approach to the study of UCPPS, as well as investigating potential relationships between UCPPS and other chronic conditions that are sometimes seen in IC/PBS and CP/CPPS patients, such as irritable bowel syndrome, fibromyalgia, and chronic fatigue syndrome.[13]

References

  1. "Adrenocortical hormone abnormalities in men with chronic prostatitis/chronic pelvic pain syndrome". Urology 71 (2): 261–6. February 2008. doi:10.1016/j.urology.2007.09.025. PMID 18308097. 
  2. "Letter to the editor regarding the article "Adrenocortical hormone abnormalities in men with chronic prostatitis/chronic pelvic pain syndrome"" (in English). Urology 169: 273. 2022. doi:10.1016/j.urology.2022.07.051. ISSN 0090-4295. PMID 35987379. https://www.goldjournal.net/article/S0090-4295(22)00690-2/abstract. 
  3. "AUTHOR REPLY" (in English). Urology 169: 273–274. 2022. doi:10.1016/j.urology.2022.07.049. ISSN 0090-4295. PMID 35985522. https://www.goldjournal.net/article/S0090-4295(22)00691-4/abstract. 
  4. "Urologic chronic pelvic pain syndrome--looking back and looking forward". Folia Med (Plovdiv) 51 (3): 42–4. 2009. PMID 19957562. 
  5. "A Comprehensive Review of the Diagnosis, Treatment, and Management of Urologic Chronic Pelvic Pain Syndrome". Curr Pain Headache Rep 24 (6): 27. May 2020. doi:10.1007/s11916-020-00857-9. PMID 32378039. 
  6. Potts JM (2005). "Therapeutic options for chronic prostatitis/chronic pelvic pain syndrome". Current Urology Reports 6 (4): 313–7. doi:10.1007/s11934-005-0030-5. PMID 15978236. 
  7. 7.0 7.1 7.2 "Prostatitis: Infection, neuromuscular disorder, or pain syndrome? Proper patient classification is key". Cleve Clin J Med 74 (Suppl 3): S63–71. May 2007. doi:10.3949/ccjm.74.suppl_3.s63. PMID 17549825. 
  8. "The effect of alpha-adrenergic antagonists in chronic prostatitis/chronic pelvic pain syndrome: a meta-analysis of randomized controlled trials". J. Androl. 27 (6): 847–52. 2006. doi:10.2164/jandrol.106.000661. PMID 16870951. "...treatment duration should be long enough (more than 3 months)". 
  9. "Quercetin in men with category III chronic prostatitis: a preliminary prospective, double-blind, placebo-controlled trial". Urology 54 (6): 960–3. 1999. doi:10.1016/S0090-4295(99)00358-1. PMID 10604689. 
  10. Elist J (2006). "Effects of pollen extract preparation Prostat/Poltit on lower urinary tract symptoms in patients with chronic nonbacterial prostatitis/chronic pelvic pain syndrome: a randomized, double-blind, placebo-controlled study". Urology 67 (1): 60–3. doi:10.1016/j.urology.2005.07.035. PMID 16413333. 
  11. "Recent advances in managing chronic prostatitis/chronic pelvic pain syndrome". F1000Res 6: 1747. 2017. doi:10.12688/f1000research.10558.1. PMID 29034074. 
  12. "The MAPP research network: a novel study of urologic chronic pelvic pain syndromes". BMC Urol 14: 57. August 2014. doi:10.1186/1471-2490-14-57. PMID 25085007. 
  13. 13.0 13.1 "A New Look at Urological Chronic Pelvic Pain". https://www.mappnetwork.org/.