A Comprehensive Review of the Diagnosis, Treatment, and Management of Urologic Chronic Pelvic Pain Syndrome

  title={A Comprehensive Review of the Diagnosis, Treatment, and Management of Urologic Chronic Pelvic Pain Syndrome},
  author={Leena Adamian and Ivan Urits and Vwaire Orhurhu and Dylan Hoyt and R. Driessen and John A. Freeman and A. Kaye and Rachel J. Kaye and A. Garcia and E. Cornett and Omar Viswanath},
  journal={Current Pain and Headache Reports},
Purpose of Review Urologic chronic pelvic pain syndrome (UCPPS) is a chronic, noncyclic pain condition which can lead to significant patient morbidity and disability. It is defined by pain in the pelvic region, lasting for greater than 3 to 6 months, with no readily identifiable disease process. The aim of this review is to provide a comprehensive update of diagnosis and treatment of UCPPS. Recent Findings UCPPS encompasses chronic pelvic pain syndrome or chronic prostatitis (CP/CPPS) in men… Expand
4 Citations
A Comprehensive Update of the Superior Hypogastric Block for the Management of Chronic Pelvic Pain
This is a comprehensive review of the superior hypogastric block for the management of chronic pelvic pain. It reviews the background, including etiology, epidemiology, and current treatmentExpand
Cognitive behavioral therapy for the treatment of chronic pelvic pain.
Cognitive-behavioral therapy may be another option when treating chronic pelvic pain syndrome and should be considered. Expand
Inferior Hypogastric Block for the Treatment of Chronic Pelvic Pain
There are non-pharmacologic treatments as well as pharmacologic treatments, and inferior hypogastric plexus block is a promising treatment modality for chronic pelvic pain. Expand
Transforaminal Sacral Nerve Neurostimulation for the Treatment of Intractable Chronic Pelvic Pain: Case Report.
In both reported cases, the implantation of a percutaneous transforaminal sacral nerve neurostimulator proved to be useful for pain management and should be evaluated in clinical trials. Expand


Surgical interventions for chronic pelvic pain
Surgical treatments of CPP range from conservative/fertility-sparing approaches to extirpative therapy, and further research is needed to better guide clinicians as to when to choose surgical therapy vs. targeting secondary contributors to pelvic pain. Expand
Male chronic pelvic pain: An update
  • Christopher P. Smith
  • Medicine
  • Indian journal of urology : IJU : journal of the Urological Society of India
  • 2016
Although no gold-standard treatment exists, a multidisciplinary approach with multimodal therapy gives the UCPPS patient the best chance of symptom relief. Expand
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Potentially beneficial medications include depot medroxyprogesterone, gabapentin, nonsteroidal anti-inflammatory drugs, and gonadotropin-releasing hormone agonists with add-back hormone therapy. Expand
Medical and surgical management of chronic pelvic pain
This review addresses the approach to diagnosis and management of women presenting with chronic pelvic pain and seeks to encourage a holistic approach to all women with Chronic pelvic pain, whether or not a primary diagnosis is established. Expand
Immunological Mechanisms Underlying Chronic Pelvic Pain and Prostate Inflammation in Chronic Pelvic Pain Syndrome
Cumulative evidence obtained from both human disease and animal models indicate that several factors may trigger chronic inflammation in the form of autoimmunity against prostate, fostering chronic prostate recruitment of Th1 cells, and different other leukocytes, including mast cells, which might be the main actors in the consequent development of chronic pelvic pain. Expand
Management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS): the studies, the evidence, and the impact
There is no one particular treatment that shows significant clinical efficacy to be recommended as a mono-therapy for CP/CPPS, so the physician must adapt his knowledge and interpretation of the evidence from randomized placebo- and sham-controlled trials to determine what therapy or therapies are best indicated for each individual patient. Expand
Multimodal therapy for category III chronic prostatitis/chronic pelvic pain syndrome in UPOINTS phenotyped patients
A simple protocol based on α-blockers, S. repens extracts and supplements and antibacterial agents, targeting the urinary, organ specific and infection domains of UPOINTS, may induce a clinically appreciable improvement of the signs and symptoms of CP/CPPS in a considerable percentage of patients. Expand
Comparison of economic impact of chronic prostatitis/chronic pelvic pain syndrome and interstitial cystitis/painful bladder syndrome.
Both CP/CPPS and IC/PBS have very similar and substantial direct and indirect costs and the greater costs reflected by the non-Medicare rates may more accurately reflect the true costs, given that a large proportion of these patients were <65 years old. Expand
The role of nonpharmacologic therapies in management of chronic pelvic pain: what to do when surgery fails
Behavioral strategies, such as exercise, cognitive behavioral therapy, and mindfulness, have demonstrated significant improvements in pain, function and quality of life in patients with a variety of chronic pain conditions and are promising avenues for future research in CPP. Expand
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  • S. Wozniak
  • Medicine
  • Annals of agricultural and environmental medicine : AAEM
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Due to the complex aetiology of chronic pelvic pain, the most beneficial effects are obtained when the therapy is based on cooperation of the gynaecologist, physiotherapist, psychologist and interventional radiologist. Expand