Urologic chronic pelvic pain syndrome explained

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, relaxation techniques, 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]

Notes and References

  1. Dimitrakov J, Joffe HV, Soldin SJ, Bolus R, Buffington CA, Nickel JC . Adrenocortical hormone abnormalities in men with chronic prostatitis/chronic pelvic pain syndrome . Urology . 71 . 2 . 261–6 . February 2008 . 18308097 . 2390769 . 10.1016/j.urology.2007.09.025 .
  2. 2022. Letter to the editor regarding the article "Adrenocortical hormone abnormalities in men with chronic prostatitis/chronic pelvic pain syndrome". Masiutin MG, Yadav MK . Urology. 169 . 273 . English. 10.1016/j.urology.2022.07.051. 0090-4295. 35987379. 251657694.
  3. Dimitrakoff J, Nickel JC . 2022. AUTHOR REPLY. Urology. 169 . 273–274 . English. 10.1016/j.urology.2022.07.049. 35985522 . 251658492 . 0090-4295.
  4. Dimitrakov J, Dimitrakova E . Urologic chronic pelvic pain syndrome--looking back and looking forward . Folia Med (Plovdiv) . 51 . 3 . 42–4 . 2009 . 19957562 .
  5. Adamian L, Urits I, Orhurhu V, Hoyt D, Driessen R, Freeman JA, Kaye AD, Kaye RJ, Garcia AJ, Cornett EM, Viswanath O . A Comprehensive Review of the Diagnosis, Treatment, and Management of Urologic Chronic Pelvic Pain Syndrome . Curr Pain Headache Rep . 24 . 6 . 27 . May 2020 . 32378039 . 10.1007/s11916-020-00857-9 . 218513050 .
  6. Potts JM . Therapeutic options for chronic prostatitis/chronic pelvic pain syndrome . Current Urology Reports . 6 . 4 . 313–7 . 2005 . 15978236 . 10.1007/s11934-005-0030-5. 195364765 .
  7. Potts J, Payne RE . Prostatitis: Infection, neuromuscular disorder, or pain syndrome? Proper patient classification is key . Cleve Clin J Med . 74 . S63–71 . May 2007 . Suppl 3 . 17549825 . 10.3949/ccjm.74.suppl_3.s63.
  8. Yang G, Wei Q, Li H, Yang Y, Zhang S, Dong Q . 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 . 16870951 . 10.2164/jandrol.106.000661 . ...treatment duration should be long enough (more than 3 months). free .
  9. Shoskes DA, Zeitlin SI, Shahed A, Rajfer J . Quercetin in men with category III chronic prostatitis: a preliminary prospective, double-blind, placebo-controlled trial . Urology . 54 . 6 . 960–3 . 1999 . 10604689 . 10.1016/S0090-4295(99)00358-1.
  10. Elist J . 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 . 2006 . 16413333 . 10.1016/j.urology.2005.07.035.
  11. Sandhu J, Tu HY . Recent advances in managing chronic prostatitis/chronic pelvic pain syndrome . F1000Res . 6 . 1747. 2017 . 29034074 . 5615772 . 10.12688/f1000research.10558.1 . free .
  12. Clemens JQ, Mullins C, Kusek JW, Kirkali Z, Mayer EA, Rodríguez LV, Klumpp DJ, Schaeffer AJ, Kreder KJ, Buchwald D, Andriole GL, Lucia MS, Landis JR, Clauw DJ . 6. The MAPP research network: a novel study of urologic chronic pelvic pain syndromes . BMC Urol . 14 . 57 . August 2014 . 25085007 . 4134515 . 10.1186/1471-2490-14-57 . free.
  13. Web site: A New Look at Urological Chronic Pelvic Pain . Multi-Disciplinary Approach to the Study of Chronic Pelvic Pain . 8 March 2021.

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