TY - JOUR
T1 - Chronic prostatitis and sensory urgency
T2 - Whose pain is it?
AU - Gonzalez, Ricardo R.
AU - Te, Alexis E.
N1 - Publisher Copyright:
© 2004, Current Science Inc.
PY - 2004/11
Y1 - 2004/11
N2 - Difficulties encountered in diagnosing and effectively treating chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is frustrating for clinicians and patients. Scientific evidence cannot establish an exact relationship between the prostate and the symptoms of CP/CPPS, and the prostate continues to be the diagnosis of convenience in this complex syndrome in men. However, if the pain is not the prostate’s, whose pain is it? A heterogeneous group of insults can result in a common neurogenic pain response, resulting in recurring pain and voiding or sexual dysfunction. To add to this dilemma, certain life-threatening diagnoses, such as carcinoma-in-situ, is in the differential diagnosis and must be excluded. Urodynamics may be useful in evaluating and treating patients whose voiding symptoms predominate. However, many patients with CP/ CPPS will not have measurable abnormalities by conventional methods and likely suffer from a functional somatic syndrome that is best treated with a multimodality approach.
AB - Difficulties encountered in diagnosing and effectively treating chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is frustrating for clinicians and patients. Scientific evidence cannot establish an exact relationship between the prostate and the symptoms of CP/CPPS, and the prostate continues to be the diagnosis of convenience in this complex syndrome in men. However, if the pain is not the prostate’s, whose pain is it? A heterogeneous group of insults can result in a common neurogenic pain response, resulting in recurring pain and voiding or sexual dysfunction. To add to this dilemma, certain life-threatening diagnoses, such as carcinoma-in-situ, is in the differential diagnosis and must be excluded. Urodynamics may be useful in evaluating and treating patients whose voiding symptoms predominate. However, many patients with CP/ CPPS will not have measurable abnormalities by conventional methods and likely suffer from a functional somatic syndrome that is best treated with a multimodality approach.
KW - Benign Prostatic Hyperplasia
KW - International Prostate Symptom Score
KW - Interstitial Cystitis
KW - Lower Urinary Tract Symptom
KW - Prostatitis
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U2 - 10.1007/s11934-004-0067-x
DO - 10.1007/s11934-004-0067-x
M3 - Article
C2 - 15541212
AN - SCOPUS:16644376241
SN - 1527-2737
VL - 5
SP - 437
EP - 441
JO - Current Urology Reports
JF - Current Urology Reports
IS - 6
ER -