Volume 4, Issue 2 (Fall & Winter 2020)
J Res Urol 2020, 4(2): 39-51 |
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Irani D, Hosseini M M, Jahanabadi Z, Haghpanah A. Chronic Pelvic Pain Syndrome in Men: A Review of Evaluation and Therapy. J Res Urol 2020; 4 (2) :39-51
URL: http://urology.umsha.ac.ir/article-1-76-en.html
URL: http://urology.umsha.ac.ir/article-1-76-en.html
1- Associate Professor, Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran, Associate Professor, Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran
2- Assistant Professor, Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran, Assistant Professor, Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran ,z_jahanabadi@yahoo.com
3- Assistant Professor, Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran, Assistant Professor, Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran
2- Assistant Professor, Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran, Assistant Professor, Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran ,
3- Assistant Professor, Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran, Assistant Professor, Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract: (4978 Views)
Background and Objective: Male Chronic Pelvic Pain Syndrome (CPPS) is a prevalent condition and a disabling disorder with significant impact on quality of life. There is no standard protocol for treatment of this condition. This study was conducted to acquire a comprehensive view in the diagnosis and treatment of males with CPPS.
Methods: A total of 41 articles from 1975 to 2019 that discussed diagnosis, treatments and controversies of the male CPPS were reviewed using PubMed and MEDLINE websites.
Results: Diagnosis of CPPS is typically based on patient history, symptoms and exclusion of other causes of these symptoms. Multimodal therapy is more effective than single therapy. Treatment should start with least invasive modality. Good interaction between the patient and physician is an important point in therapy and consultation with other specialists if necessary.
Conclusion: To manage this condition a multidisciplinary approach with multimodal therapy associated with good interaction between patient and physician appears to give the patient the best chance for treatment.
Methods: A total of 41 articles from 1975 to 2019 that discussed diagnosis, treatments and controversies of the male CPPS were reviewed using PubMed and MEDLINE websites.
Results: Diagnosis of CPPS is typically based on patient history, symptoms and exclusion of other causes of these symptoms. Multimodal therapy is more effective than single therapy. Treatment should start with least invasive modality. Good interaction between the patient and physician is an important point in therapy and consultation with other specialists if necessary.
Conclusion: To manage this condition a multidisciplinary approach with multimodal therapy associated with good interaction between patient and physician appears to give the patient the best chance for treatment.
Type of Study: Review Article |
Subject:
Andrology
Received: 2020/10/24 | Accepted: 2021/06/7 | Published: 2021/09/4
Received: 2020/10/24 | Accepted: 2021/06/7 | Published: 2021/09/4
References
1. Mueller J.Case Report: Managing Chronic Pelvic Pain in Men. PPM. 2019; 19(6):45-9.
2. Rees J, Abrahams M, Doble A, Cooper A. Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline. BJU Int. 2015; 116(4):509. [DOI:10.1111/bju.13101]
3. Pontari MA, Ruggieri MR. Mechanisms in prostatitis/chronic pelvic pain syndrome. J Urol. 2004; 172(3):839-45. [DOI:10.1097/01.ju.0000136002.76898.04]
4. Seen P. Michael A. Prostatitis. AUA Urology Core Curriculum. AUA university. 2019.
5. Krieger JN, Riley DE. Chronic prostatitis: charlottesville to seattle. J. Urol. 2004; 172(6 Part 2):2557-60. [DOI:10.1097/01.ju.0000144291.05839.a0]
6. Cohen RJ, Shannon BA, Mcneal JE, Shannon TO, Garrett KL. Propionibacterium acnes associated with inflammation in radical prostatectomy specimens: a possible link to cancer evolution?. J. Urol. 2005; 173(6):1969-74. [DOI:10.1097/01.ju.0000158161.15277.78]
7. Rudick CN, Berry RE, Johnson JR, Johnston, B, Klumpp DJ, Schaeffer AJ, et al.Uropathogenic Escherichia coli induces chronic pelvic pain. Infect Immun. 2011; 79(2):628-35.
8. Penna G, Fibbi B, Maggi M, Adorini L. Prostate autoimmunity: from experimental models to clinical counterparts. Expert Rev. Clin. Immunol. 2009; 5(5):577-86.
https://doi.org/10.1586/eci.09.37 [DOI:10.1128/IAI.00910-10]
8. Davis SN, Maykut CA, Binik YM, Amsel R, Carrier S. Tenderness as measured by pressure pain thresholds extends beyond the pelvis in chronic pelvic pain syndrome in men. J Sex Med. 2011; 8(1):232-9. [DOI:10.1111/j.1743-6109.2010.02041.x]
9. Kessler TM, Mordasini L, Weisstanner C, Jüni P, da Costa BR, Wiest R, et al. Sono-electro-magnetic therapy for treating chronic pelvic pain syndrome in men: a randomized, placebo-controlled, double-blind trial. PLoS One. 2014; 9(12):e113368. [DOI:10.1371/journal.pone.0113368]
10. Parsons CL, Albo M. Intravesical potassium sensitivity in patients with prostatitis. J. Urol. 2002; 168(3):1054-7. [DOI:10.1016/S0022-5347(05)64573-9]
11. Forrest JB, Schmidt S. Interstitial cystitis, chronic nonbacterial prostatitis and chronic pelvic pain syndrome in men: a common and frequently identical clinical entity. J. Urol. 2004; 172(6 Part 2):2561-2. [DOI:10.1097/01.ju.0000145102.40773.43]
12. MacLennan GT, Eisenberg R, Fleshman RL, Taylor JM, Fu P, Resnick MI, et al. The influence of chronic inflammation in prostatic carcinogenesis: a 5-year followup study. J. Urol. 2006; 176(3):1012-6. [DOI:10.1016/j.juro.2006.04.033]
13. Schaeffer A, Stern J. Chronic prostatitis. Clin Evid. 2002; 7(1):788-95.
14. Nickel JC. Practical approach to the management of prostatitis. Tech Urol. 1995; 1(3):162-7.
15. Pansadoro V, Emiliozzi P, Defidio L, Scarpone P, Sabatini G, Brisciani A, et al. Prostate-specific antigen and prostatitis in men under fifty. Eur. Urol. Focus. 1996; 30:24-7. [DOI:10.1159/000474140]
16. Theodorou CH, Becopoulos TH. The urodynamic profile of prostatodynia. BJU Int. 1999; 84(4):461-3. [DOI:10.1046/j.1464-410x.1999.00167.x]
17. Miller JL, Rothman I, Bavendam TG, Berger RE. Prostatodynia and interstitial cystitis: one and the same?. J. Urol. 1995; 45(4):587-90.
19. Polackwich AS, Shoskes DA. Chronic prostatitis/chronic pelvic pain syndrome: a review of evaluation and therapy. PCPD. 2016; 19:132-8.
https://doi.org/10.1038/pcan.2016.8 [DOI:10.1016/S0090-4295(99)80048-X]
18. Chung SD, Huang CC, Lin HC. Chronic prostatitis and depressive disorder: a three year population-based study. J. Affect. Disord. 2011 Nov 1;134(1-3):404-9. [DOI:10.1016/j.jad.2011.05.046]
19. Nickel JC, Shoskes DA. Phenotypic approach to the management of the chronic prostatitis/chronic pelvic pain syndrome. BJU Int. 2010 Nov 1;106(9):1252-63. [DOI:10.1111/j.1464-410X.2010.09701.x]
20. Davis SN, Binik YM, Amsel R, Carrier S. Is a sexual dysfunction domain important for quality of life in men with urological chronic pelvic pain syndrome? Signs "UPOINT" to yes. J. Urol. 2013 Jan;189(1):146-51. [DOI:10.1016/j.juro.2012.08.083]
21. Nickel JC. Lower urinary tract symptoms associated with prostatitis. Can Urol Assoc J. 2012; 6(5):S133-5. [DOI:10.5489/cuaj.1468]
22. Smart CJ, Jenkins JD, Lloyd RS. The painful prostate. Br. J. Urol. 1975; 47(7):861-9. [DOI:10.1111/j.1464-410X.1975.tb04069.x]
23. Davis BE, Weigel JW. Adenocarcinoma of the prostate discovered in 2 young patients following total prostatovesiculectomy for refractory prostatitis. J. Urol. 1990; 144(3):744-5. [DOI:10.1016/S0022-5347(17)39573-3]
24. Anderson RU, Wise D, Sawyer T, Chan C. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. J. Urol. 2005; 174(1):155-60. [DOI:10.1097/01.ju.0000161609.31185.d5]
25. Anderson RU, Wise D, Sawyer T, Chan CA. Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training. J. Urol. 2006; 176(4):1534-9. [DOI:10.1016/j.juro.2006.06.010]
26. Sadeghi-Nejad H, Seftel A. Sexual dysfunction and prostatitis. Curr Urol Rep. 2006; 7(6):479-84. [DOI:10.1007/s11934-006-0058-1]
27. Kaplan SA, Santarosa RP, D'Alisera PM, Fay BJ, Ikeguchi EF, Hendricks J, et al. Pseudodyssynergia (contraction of the external sphincter during voiding) misdiagnosed as chronic nonbacterial prostatitis and the role of biofeedback as a therapeutic option. J. Urol. 1997; 157(6):2234-7. [DOI:10.1016/S0022-5347(01)64727-X]
28. Anderson RU, Sawyer T, Wise D, Morey A, Nathanson BH. Painful myofascial trigger points and pain sites in men with chronic prostatitis/chronic pelvic pain syndrome. J. Urol. 2009; 182(6):2753-8. [DOI:10.1016/j.juro.2009.08.033]
29. Lee SH, Lee BC. Electroacupuncture relieves pain in men with chronic prostatitis/chronic pelvic pain syndrome: three-arm randomized trial. J. Urol. 2009; 73(5):1036-41. [DOI:10.1016/j.urology.2008.10.047]
30. Qin Z, Wu J, Zhou J, Liu Z. Systematic review of acupuncture for chronic prostatitis/chronic pelvic pain syndrome. Medicine. 2016; 95(11):405-24. [DOI:10.1097/MD.0000000000003095]
31. Meares EM Jr. Prostatitis. Med Clin North Am. 1991; 75(2):405-24. [DOI:10.1016/S0025-7125(16)30462-X]
32. Meares EM Jr. Non-specific infections of the genitourinary tract. In: Tanagho EH, McAninch JW, eds. Smith's General Urology. 14th ed. Appleton & Lange: Norwalk, Conn; 1995; 1: 231-4.
33. Meares EM Jr. Prostatitis and related disorders. In: Walsh PC, Retik AB, Vaughan ED, Wein AJ, eds. Campbell's Urology. 7th ed. Philadelphia, Pa: WB Saunders; 1998: 285-6.
34. Lee JC, Muller CH, Rothman I, Agnew KJ, Eschenbach D, Ciol MA, et al. Prostate biopsy culture findings of men with chronic pelvic pain syndrome do not differ from those of healthy controls. J. Urol. 2003; 169(2):584-8. [DOI:10.1016/S0022-5347(05)63958-4]
35. Taylor BC, Noorbaloochi S, McNaughton-Collins M, Saigal CS, Sohn MW, Pontari MA, et al. Urologic Diseases in America Project. Excessive antibiotic use in men with prostatitis. Am. J. Ind. Med. 2008; 121(5):444-9. [DOI:10.1016/j.amjmed.2008.01.043]
36. Barbalias Ga, Nikiforidis G, Liatsikos En. Alpha-blockers for the treatment of chronic prostatitis in combination with antibiotics. J. Urol. 1998; 159(3):883-7. [DOI:10.1016/S0022-5347(01)63761-3]
37. Berger RE. Infection and inflammation of genitourinary tract. J Urol. 2010;184(6):2346-51. [DOI:10.1016/j.juro.2010.07.015]
38. Fouad Kotb A, Mohamed ismail A,sharefeldeen M, Elsayed EY. Chronic prostatitis/ chronic pelvic pain syndrome: the role of an antifungal regimen. Cent European J Urol. 2013; 66(2):196-9.
39. Pontari MA, Krieger JN, Litwin MS, White PC, Anderson RU, McNaughton-Collins M, et al. Pregabalin for the treatment of men with chronic prostatitis/chronic pelvic pain syndrome: a randomized controlled trial. Arch. Intern. Med. 2010; 170(17):1586-93. [DOI:10.1001/archinternmed.2010.319]
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