CHRONIC PELVIC PAIN
Authors:
doc. MUDr. Michael Urban; MUDr. Jiří Heráček
Authors‘ workplace:
Androgeos - soukromé urologické a andrologické centrum, Centrum pro léčbu chronické pánevní bolesti
; Urologická klinika 3. LF UK a FNKV, Praha
Published in:
Urol List 2005; 3(2): 48-55
Overview
Chronic pelvic pain constitute a complicated problem due to the determination of their pathophysiological causes, which was not too succesful. The complaints are most often marked as "intersticial cystitis" (IC) or "chronic prostatitis" (CP). These terms reflect clinical interpretation of symptoms described by the patients. The inflammation is intuitively marked as the main cause since the symptoms imply that. Nowadays we can see, that the theories solving chronic pelvic pain do not work anymore and that it is necessary to re-evaluate them and at the same time to adjust the terminology. Contemporary definitions correspond with the latest recommendations for the terminology, determined by International Continence Society (ICS) [1] and using the axial structure of the classification of International Association for the Study of Pain (IASP) [2]. The article elaborates the pathogenesis, diagnosis and the possibilities of treatment of chronic prostatitis.
KEY WORDS:
chronic pelvic pain, chronic prostatitis, chronic pain syndrome
Sources
1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A. The standardisation of terminology of lower urinary tract function: report from the Standardisation Subcommittee of the International Continence Society. Am J Obstet Gynecol 2002; 187: 116-126.
2. Merskey H, Bogduk N. Classification of Chronic Pain. Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms. Seattle: IASP Press 2002.
3. Krieger JN, Nyberg L jr, Nickel JC. NIH consensus definition and classification of prostatitis. JAMA 1999; 282: 236-237.
4. de la Rosette JJ, Hubregtse MR, Meuleman EJ, Stolk-Engelaar MV, Debruyne FM. Diagnosis and treatment of 409 patients with prostatitis syndromes. Urology 1993; 41: 301-307.
5. Meares EM jr. Prostatitis. Med Clin North Am 1991; 75: 405-424.
6. Brunner H, Weidner W, Schiefer HG. Studies on the role of Ureaplasma urealyticum and Mycoplasma hominis in prostatitis. J Infect Dis 1983; 147: 807-813.
7. Nickel JC, Weidner W. Chronic prostatitis: Current Concepts and antimicrobial therapy. Infect Urol 2000; 13: 22.
8. Nickel JC. Prostatitis: myths and realities. Urology 1998; 51: 362-366.
9. Barbalias GA, Meares EM jr, Sant GR. Prostatodynia: clinical and urodynamic characteristics. J Urol 1983; 130: 514-517.
10. Kaplan SA, Te AE, Jacobs BZ. Urodynamic evidence of vesical neck obstruction in men with misdiagnosed chronic nonbacterial prostatitis and the therapeutic role of endoscopic incision of the bladder neck. J Urol 1994; 152: 2063-2065.
11. Murnaghan GF, Millard RJ. Urodynamic evaluation of bladder neck obstruction in chronic prostatitis. Br J Urol 1984; 56: 713-716.
12. Blacklock NJ. Anatomical factors in prostatitis. Br J Urol 1974; 46: 47-54.
13. Kirby RS, Lowe D, Bultitude MI, Shuttleworth KE. Intra-prostatic urinary reflux: an aetiological factor in abacterial prostatitis. Br J Urol 1982; 54: 729-731.
14. Doble A, Walker MM, Harris JR, Taylor-Robinson D, Witherow RO. Intraprostatic antibody deposition in chronic abacterial prostatitis. Br J Urol 1990; 65: 598-605.
15. Shortliffe LM, Wehner N. The characterization of bacterial and nonbacterial prostatitis by prostatic immunoglobulins. Baltimore: Medicine 1986; 65: 399-414.
16. Andersen JT. Treatment of prostatodynia. In: Nickel JC (ed). Textbook of Prostatitis. London: ISIS 1999.
17. Egan KJ, Krieger JL. Chronic abacterial prostatitis - a urological chronic pain syndrome? Pain 1997; 69(3): 213-218.
18. Barry MJ, Fowler FJ jr, O'Leary MP, Bruskewitz RC, Holtgrewe HL, Mebust WK, Cockett AT. The American Urological Association symptom index for benign prostatic hyperplasia. The Measurement Committee of the American Urological Association. J Urol 1992; 148: 1549-1557; discussion 1564.
19. Nickel JC. Effective office management of chronic prostatitis. Urol Clin North Am 1998; 25: 677-684.
20. Wenninger K, Heiman JR, Rothman I, Berghuis JP, Berger RE. Sickness impact of chronic nonbacterial prostatitis and its correlates. J Urol 1996; 155: 965-968.
21. Mc Naughton-Collins M, O'Leary MP, Litwin MS. Quality of life is impaired in men with chronic prostatitis results from the NIH Cohort study (abstract). J Urol 2000; 163 (Suppl): 23.
22. Mebust WK, Bosch R, Donovan J, Okada K, O'Leary MA, Villers A, Ackermann R, Batista JE, Boyle P, Denis L, Leplege A, Sagnier P. Symptom evaluation, quality of life and sexuality. In: Cockett ATK, Khoury S, Aso Y, Chatelain C, Denis L, Griffiths K, Murphy G (eds). Proceedings, The 2nd consultation on benign prostatic hyperplasia (BPH). Paris: Scientific Communication International 1993: 129.
23. Meares EMJ, Minich W. Prostatodynia: clinical findings and rationale for treatment. In: Weidner W, Brunner H, Krause W, Rothauge CJ (eds). Therapy of Prostatitis. Munchen: Zuckschwerdt Verlag 1986: 207.
24. Nickel JC. The Pre and Post Massage Test (PPMT): a simple screen for prostatitis. Tech Urol 1997; 3: 38-43.
25. Nickel JC. Prostatitis: evolving management strategies. Urol Clin North Am 1999; 26: 737-751.
26. Rosette de la JJ, Karthaus HF, van Kerrebroeck PE, Boo de T, Debruyne FM. Research in 'prostatitis syndromes': the use of alfuzosin (a new alpha 1-receptor-blocking agent) in patients mainly presenting with micturition complaints of an irritative nature and confirmed urodynamic abnormalities. Eur Urol 1992; 22: 222-227.
27. Neal DE jr, Moon TD. Use of terazosin in prostatodynia and validation of a symptom score questionnaire. Urology 1994; 43: 460-465.
28. Drach GW. Trimethoprim sulfamethoxazole therapy of chronic bacterial prostatitis. J Urol 1974; 111: 637-639.
29. Meares EM. Long-term therapy of chronic bacterial prostatitis with trimethoprim- sulfamethoxazole. Can Med Assoc J 1975; 112: 22-25.
30. Schaeffer AJ, Darras FS. The efficacy of norfloxacin in tle treatment of chronic bacterial prostatitis refractory to trimethoprimsulfamethoxazole and/or carbenicillin. J Urol 1990; 144: 690-693.
31. Childs SJ. Ciprofloxacin in treatment of chronic bacterial prostatitis. Urology 1990; 35: 15-18.
32. Canale D, Scaricabarozzi I, Giorgi P, Turchi P, Ducci M, Menchini-Fabris GF. Use of a novel non-steroidal anti-inflammatory drug, nimesulide, in the treatment of abacterial prostatovesiculitis. Andrologia 1993; 25: 163-166.
33. Golio G. The use of finasteride in the treatment to chronic nonbacterial prostatitis. Abstacts of the 49th Annual Meeting of the Northeastern Section of the American Urological Association, Phoenix, AZ: 1997; 128.
34. Holm M, Meyhoff HH. Chronic prostatic pain. A new treatment option with finasteride? Scand J Urol Nephrol 1997; 31: 213-215.
35. Meares EJ. Prostatitis and related disorders. In: Walsh PC, Retik AB, Stamey TA, Vaughan EDJ (eds). Campbell's Urology. Philadelphia: WW Saunders 1992: 807.
36. Buck AC, Rees RW, Ebeling L. Treatment of chronic prostatitis and prostatodynia with pollen extract. Br J Urol 1989; 64: 496-499.
37. Kamihira O, Sahashi M, Yamada S, Ono Y, Ohshima S. Transrectal hyperthermia for chronic prostatitis. Nippon Hinyokika Gakkai Zasshi 1993; 84: 1095-1098.
38. Choi NG, Soh SH, Yoon TH, Song MH. Clinical experience with transurethral microwave thermotherapy for chronic nonbacterial prostatitis and prostatodynia. J Endourol 1994; 8: 61-64.
39. Barnes RW, Hadley HL, O'Donoghue EP. Transurethral resection of the prostate for chronic bacterial prostatitis. Prostate 1982; 3: 215-219.
40. Robert R, Labat JJ, Bensignor M, Glemain P, Deschamps C, Raoul S,Hamel O. Decompression and transposition of the pudendal nerve in pudendal neuralgia: A randomized contolled trial and long-term evaluation European Urology 2005; 47: 403-408.
Labels
Paediatric urologist UrologyArticle was published in
Urological Journal
2005 Issue 2
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