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CHRONIC PELVIC PAIN AND SEXUAL FUNCTIONS AS SEEN BY UROLOGIST AND ANATOMIST


Authors: doc. MUDr. Michael Urban 1,2;  MUDr. Jiří Heráček 1,2;  MUDr. Václav Báča 3
Authors‘ workplace: Urologická klinika 3. LF UK a FN Královské Vinohrady Šrobárova 50, 0 4 Praha urbanm@fnkv. cz 1;  Androgeos - soukromé urologické a andrologické centrum, Centrum pro léčbu chronické pánevní bolesti, Prah­a 2;  Anatomický ústav 3. LF UK, Centrum pro integrované studium pánve, Praha 3
Published in: Urol List 2007; 5(2): 28-37

Overview

The treatment of pelvic pains is a complex issue due to low success rate in determining their patho­physiological causes. These difficulties are most often classified as interstitial cystitis (IC) or chronic prostatitis (CP). In addition to painful symptoms in pelvic organs, also present are functional difficulties enhanced by psychological strain which eventually assumes a dominant role as a consequence of prolonged and not always efficient therapy. Sexual functions of men irrespective of age can be easily affec­ted. The combination of chronic pain and psychical alteration is a nurturing ground for sexual dysfunction in general. Based on a joint urologist and anatomist view and detailed insight into the nervous supply of the pelvic organ area, the authors have tried to identify the hypothetical links explaining the causes of sexual dysfunction in men.

Key words:
chronic pelvic pain, chronic prostatitis, sexual dysfunction, nervus pudendus


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Paediatric urologist Urology
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