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Current Pain and Headache Reports
Erschienen in: Current Pain and Headache Reports 6/2020

01.06.2020 | Other Pain (AD Kaye and N Vadivelu, Section Editors)

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

verfasst von: Leena Adamian, Ivan Urits, Vwaire Orhurhu, Dylan Hoyt, Rebecca Driessen, John A. Freeman, Alan D. Kaye, Rachel J. Kaye, Andrew J. Garcia, Elyse M. Cornett, Omar Viswanath

Erschienen in: Current Pain and Headache Reports | Ausgabe 6/2020

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Abstract

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 and interstitial cystitis or painful bladder syndrome (IC/PBS) in women. Underlying inflammatory, immunologic, and neuropathic components have been implicated in the pathogenesis of UCPPS.

Summary

For optimal patient management, an individualized and multimodal approach is recommended. Medical management and physical therapy are the mainstays of treatment. Injection therapy may offer additional relief in medically refractory patients. Further minimally invasive management may include spinal cord and peripheral nerve stimulation, though evidence supporting efficacy is limited.
Literatur
1.
Fall M, Baranowski AP, Fowler CJ, Lepinard V, Malone-Lee JG, Messelink EJ, et al. EAU guidelines on chronic pelvic pain. Eur Urol. 2004;46(6):681–9.PubMedCrossRef
2.
Krieger JN, Nyberg L, Nickel JC. NIH consensus definition and classification of prostatitis. JAMA. 1999;282(3):236–7.PubMedCrossRef
3.
Abrams P, Baranowski A, Berger RE, Fall M, Hanno P, Wesselmann U. A new classification is needed for pelvic pain syndromes—are existing terminologies of spurious diagnostic authority bad for patients? J Urol. 2006;175(6):1989–90.PubMedCrossRef
4.
Doggweiler R, Whitmore KE, Meijlink JM, Drake MJ, Frawley H, Nordling J, et al. A standard for terminology in chronic pelvic pain syndromes: a report from the chronic pelvic pain working group of the international continence society. Neurourol Urodyn. 2017;36(4):984–1008.PubMedCrossRef
5.
van de Merwe JP, Nordling J, Bouchelouche P, Bouchelouche K, Cervigni M, Daha LK, et al. Diagnostic criteria, classification, and nomenclature for painful bladder syndrome/interstitial cystitis: an ESSIC proposal. Eur Urol. 2008;53(1):60–7.PubMedCrossRef
6.
Yang CC, Miller JL, Omidpanah A, Krieger JN. Physical examination for men and women with urologic chronic pelvic pain syndrome: a MAPP (Multidisciplinary Approach to the Study of Chronic Pelvic Pain) Network Study. Urology. 2018;116:23–9.PubMedCrossRef
7.
Passavanti MB, Pota V, Sansone P, Aurilio C, De Nardis L, Pace MC. Chronic pelvic pain: assessment, evaluation, and objectivation. Pain Res Treat. 2017;2017:9472925.PubMedPubMedCentral
8.
9.
Wood N, Qureshi A, Mughal F. Positioning, telling, and performing a male illness: chronic prostatitis/chronic pelvic pain syndrome. Br J Health Psychol. 2017;22(4):904–19.PubMedCrossRef
10.
Tsai M-C, Kao L-T, Lin H-C, Lee C-Z, Chung S-D. Chronic prostatitis/chronic pelvic pain syndrome is associated with previous colonoscopy. Can Urol Assoc J. 2017;11(9):367.CrossRef
11.
Lee JH, Lee SW. Testosterone and chronic prostatitis/chronic pelvic pain syndrome: a propensity score-matched analysis. J Sex Med. 2016;13(7):1047–55.PubMedCrossRef
12.
Eller-Smith OC, Nicol AL, Christianson JA. Potential mechanisms underlying centralized pain and emerging therapeutic interventions. Front Cell Neurosci. 2018;12:35.PubMedPubMedCentralCrossRef
13.
Belanger GV, VerLee GT. Diagnosis and surgical management of male pelvic, inguinal, and testicular pain. Surg Clin North Am. 2016;96(3):593–613.PubMedCrossRef
14.
Brünahl C, Dybowski C, Albrecht R, Riegel B, Höink J, Fisch M, et al. Mental disorders in patients with chronic pelvic pain syndrome (CPPS). J Psychosom Res. 2017;98:19–26.PubMedCrossRef
15.
Piontek K, Ketels G, Albrecht R, Schnurr U, Dybowski C, Brünahl CA, et al. Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome. J Psychosom Res. 2019;120:1–7.PubMedCrossRef
16.
Clemens JQ, Markossian T, Calhoun EA. Comparison of economic impact of chronic prostatitis/chronic pelvic pain syndrome and interstitial cystitis/painful bladder syndrome. Urology. 2009;73(4):743–6.PubMedCrossRef
17.
Quaghebeur J, Wyndaele JJ, De Wachter S. Pain areas and mechanosensitivity in patients with chronic pelvic pain syndrome: a controlled clinical investigation. Scand J Urol. 2017;51(5):414–9.PubMedCrossRef
18.
Wadhwa V, Hamid AS, Kumar Y, Scott KM, Chhabra A. Pudendal nerve and branch neuropathy: magnetic resonance neurography evaluation. Acta Radiol. 2017;58(6):726–33.PubMedCrossRef
19.
Petrasic JR, Chhabra A, Scott KM. Impact of MR neurography in patients with chronic cauda equina syndrome presenting as chronic pelvic pain and dysfunction. Am J Neuroradiol. 2017;38(2):418–22.PubMedCrossRefPubMedCentral
20.
Fang C, Alabdulrahman H, Pape HC. Complications after percutaneous internal fixator for anterior pelvic ring injuries. Int Orthop. 2017;41(9):1785–90.PubMedCrossRef
21.
Sancak EB, Avci E, Erdogru T. Pudendal neuralgia after pelvic surgery using mesh: case reports and laparoscopic pudendal nerve decompression. Int J Urol. 2016;23(9):797–800.PubMedCrossRef
22.
Feddern M-L, Jensen TS, Laurberg S. Chronic pain in the pelvic area or lower extremities after rectal cancer treatment and its impact on quality of life: a population-based cross-sectional study. Pain. 2015;156(9):1765–71.PubMedCrossRef
23.
Brandsborg B. Pain following hysterectomy: epidemiological and clinical aspects. Dan Med J. 2012;59(1):B4374.PubMed
24.
Senapati S, Atashroo D, Carey E, Dassel M, Tu MFF. Surgical interventions for chronic pelvic pain. Curr Opin Obstet Gynecol. 2016;28(4):290–6.PubMedCrossRef
25.
Khorasani B, Arab AM, Sedighi Gilani MA, Samadi V, Assadi H. Transabdominal ultrasound measurement of pelvic floor muscle mobility in men with and without chronic prostatitis/chronic pelvic pain syndrome. Urology. 2012;80(3):673–7.PubMedCrossRef
26.
Breser ML, Salazar FC, Rivero VE, Motrich RD. Immunological mechanisms underlying chronic pelvic pain and prostate inflammation in chronic pelvic pain syndrome. Front Immunol. 2017;8(JUL):1–11.
27.
Dellabella M, Milanese G, Sigala S, D’Anzeo G, Arrighi N, Bodei S, et al. The role of the prostatic stroma in chronic prostatitis/chronic pelvic pain syndrome. Inflamm Res. 2009;58(12):829–36.PubMedCrossRef
28.
29.
Harris RE, Clauw DJ. Imaging central neurochemical alterations in chronic pain with proton magnetic resonance spectroscopy. Neurosci Lett. 2012;520(2):192–6.PubMedCrossRef
30.
Wang JP, Ding GF, Wang QZ. Interstitial cells of Cajal mediate excitatory sympathetic neurotransmission in guinea pig prostate. Cell Tissue Res. 2013;352(3):479–86.PubMedCrossRef
31.
Huang T, Yuan X. Detection and classification of various image operations using deep learning technology. In: 2018 International Conference on Machine Learning and Cybernetics (ICMLC). IEEE. 2018;50–5.
32.
Wang J, Zhang B, Jiao Y, Xu Z, Qian B, Wang Q. Involvement of prostatic interstitial cells of Cajal in inflammatory cytokines-elicited catecholamines production: implications for the pathophysiology of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Biochem Biophys Res Commun. 2018;503(2):420–7.PubMedCrossRef
33.
34.
Nickel JC, Stephens A, Landis JR, Chen J, Mullins C, Van Bokhoven A, et al. Search for microorganisms in men with urologic chronic pelvic pain syndrome: a culture-independent analysis in the MAPP research network. J Urol. 2015;194(1):127–35.PubMedPubMedCentralCrossRef
35.
Maixner W, Fillingim RB, Williams DA, Smith SB, Slade GD. Overlapping chronic pain conditions: implications for diagnosis and classification. J Pain. 2016;17(9):T93–107.PubMedPubMedCentralCrossRef
36.
Harper DE, Ichesco E, Schrepf A, Halvorson M, Puiu T, Clauw DJ, et al. Relationships between brain metabolite levels, functional connectivity, and negative mood in urologic chronic pelvic pain syndrome patients compared to controls: a MAPP research network study. NeuroImage Clin. 2018;17(August 2017):570–8.PubMedCrossRef
37.
Ihsan AU, Khan FU, Khongorzul P, Ahmad KA, Naveed M, Yasmeen S, et al. Role of oxidative stress in pathology of chronic prostatitis/chronic pelvic pain syndrome and male infertility and antioxidants function in ameliorating oxidative stress. Biomed Pharmacother. 2018;106:714–23.PubMedCrossRef
38.
Dewitt-Foy ME, Curtis Nickel J, Shoskes DA. Clinical consultation guide management of chronic prostatitis/chronic pelvic pain syndrome. 2019.
39.
Osório FL, Carolina Carvalho AF, Donadon MF, Moreno AL, Polli-Neto O. Chronic pelvic pain, psychiatric disorders and early emotional traumas: results of a cross sectional case-control study 2016;6(3):339–44.
40.
Sutcliffe S, Jemielita T, Lai HH, Andriole GL, Bradley CS, Clemens JQ, Gallop R, Hooton TM, Kreder KJ, Krieger JN, Kusek JW, Labus J, Lucia MS, Mackey S, Naliboff BD, Robinson NA, Rodriguez L V, … Colditz GA. A case-crossover study of urological chronic pelvic pain syndrome flare triggers in the MAPP research network. J Urol. 2018;199(5):1245–51.
41.
Ploteau S, Cardaillac C, Perrouin-Verbe M-A, Riant T, Labat J-J. Pudendal neuralgia due to pudendal nerve entrapment: warning signs observed in two cases and review of the literature. Pain Physician. 2016;19:449–54.
42.
Yanev K, Krastanov A, Georgiev M, Tonev A, Timev A, Elenkov A. A case of Masson’s tumor of the penis presenting as chronic pelvic pain syndrome. Urol J. 2018;15(4):217–9.PubMed
43.
Keren G, Michal G, Lior L, Liora A, Irit W-F. A common pro-nociceptive pain modulation profile typifying subgroups of chronic pelvic pain syndromes is interrelated with enhanced clinical pain. Pain. 2017;158(6).
44.
Hu C, Yang H, Zhao Y, Chen X, Dong Y, Li L, et al. The role of inflammatory cytokines and ERK1/2 signaling in chronic prostatitis/chronic pelvic pain syndrome with related mental health disorders. Sci Rep. 2016;6(January):1–12.
45.
Wang H, Dong BW, Zheng ZH, Wu ZB, Li W, Ding J. Metastasis-associated protein 1 (MTA1) signaling in rheumatoid synovium: regulation of inflammatory response and cytokine-mediated production of prostaglandin E2 (PGE2). Biochem Biophys Res Commun. 2016;473(2):442–8.PubMedCrossRef
46.
Kim HJ, Park JW, Cho YS, Cho CH, Kim JS, Shin HW, et al. Pathogenic role of HIF-1α in prostate hyperplasia in the presence of chronic inflammation. Biochim Biophys Acta - Mol Basis Dis. 2013;1832(1):183–94.CrossRef
47.
Mazzoli S, Cai T, Rupealta V, Gavazzi A, Castricchi Pagliai R, Mondaini N, et al. Interleukin 8 and anti-Chlamydia trachomatis mucosal IgA as urogenital immunologic markers in patients with C. trachomatis prostatic infection. Eur Urol. 2007;51(5):1385–93.PubMedCrossRef
48.
Malykhina AP. Neural mechanisms of pelvic organ cross-sensitization. Neuroscience. 2007;149(3):660–72.PubMedCrossRef
49.
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. 1999;54(6):960–3.PubMedCrossRef
50.
Mui J, Allaire C, Williams C, Yong PJ. Abdominal wall pain in women with chronic pelvic pain. J Obstet Gynaecol Canada. 2016;38(2):154–9.CrossRef
51.
Christopher Doiron R, Curtis NJ. Evaluation of the male with chronic prostatitis/chronic pelvic pain syndrome. Can Urol Assoc J. 2018;12(6S3):S152–4.PubMedCrossRef
52.
Antolak SJ, Antolak CM. Chronic pelvic pain: neurogenic or non-neurogenic? Warm detection threshold testing supports a diagnosis of pudendal neuropathy. Pain Physician. 2018;21(2):E125–35.PubMedCrossRef
53.
Dybowski C, Löwe B, Brünahl C. Predictors of pain, urinary symptoms and quality of life in patients with chronic pelvic pain syndrome (CPPS): a prospective 12-month follow-up study. J Psychosom Res. 2018;112:99–106.PubMedCrossRef
54.
Hanna MH, Askenazi DJ, Selewski DT, Diseases C, Mott CS, Arbor A. HHS Public Access. 2017;28(2):180–7.
55.
Klotz SGR, Ketels G, Löwe B, Brünahl CA. Myofascial findings and psychopathological factors in patients with chronic pelvic pain syndrome. Pain Med. 2018:12–3.
56.
Magri V, Marras E, Restelli A, Wagenlehner FME, Perletti G. Multimodal therapy for category III chronic prostatitis/chronic pelvic pain syndrome in UPOINTS phenotyped patients. Exp Ther Med. 2015;9(3):658–66.CrossRefPubMed
57.
Nickel JC, Shoskes DA, Wagenlehner FM. Management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS): the studies, the evidence, and the impact. 2017;4(1):3–6.
58.
59.
Masterson TA, Masterson JM, Azzinaro J, Manderson L, Swain S, Ramasamy R. Comprehensive pelvic floor physical therapy program for men with idiopathic chronic pelvic pain syndrome: a prospective study. Transl Androl Urol. 2017;6(5):910–5.PubMedPubMedCentralCrossRef
60.
Tadros NN, Shah AB, Shoskes DA. Utility of trigger point injection as an adjunct to physical therapy in men with chronic prostatitis/chronic pelvic pain syndrome. Transl Androl Urol. 2017;6(3):534–7.PubMedPubMedCentralCrossRef
61.
Loving S, Nordling J, Jaszczak P, Thomsen T. Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review. Scand J Pain. 2012;3(2):70–81.PubMedCrossRef
62.
Till SR, Wahl HN, As-Sanie S. The role of nonpharmacologic therapies in management of chronic pelvic pain. Curr Opin Obstet Gynecol. 2017;29(4):231–9.PubMedCrossRef
63.
•• Qin Z, Wu J, Tian J, Zhou J, Liu Y, Liu Z. Network meta-analysis of the efficacy of acupuncture, alpha-blockers and antibiotics on chronic prostatitis/chronic pelvic pain syndrome. Sci Rep. 2016;6(October):1–11 A meta-analysis of acupuncture, alpha-blockade, and antibiotic therapy for the treatment of chronic pelvic pain.
64.
Holt JD, Garrett WA, McCurry TK, Teichman JMH. Common questions about chronic prostatitis. Am Fam Physician. 2016;93(4):290–6.PubMed
65.
Agarwal MM, Elsi SM. Gabapentenoids in pain management in urological chronic pelvic pain syndrome: gabapentin or pregabalin? Neurourol Urodyn. 2017;36(8):2028–33.PubMedCrossRef
66.
Zhang M, Li H, Ji Z, Dong D, Yan S. Clinical study of duloxetine hydrochloride combined with doxazosin for the treatment of pain disorder in chronic prostatitis/chronic pelvic pain syndrome. Med (United States). 2017;96(10):1–7.
67.
Kraus MB, Wie CS, Gorlin AW, Wisenbaugh ES, Rosenfeld DM. Painful ejaculation with cyclobenzaprine: a case report and literature review. Sex Med. 2015;3(4):343–5.PubMedPubMedCentralCrossRef
68.
Anderson RU, Wise D, Nathanson BH. Chronic prostatitis and/or chronic pelvic pain as a psychoneuromuscular disorder—a meta-analysis. Urology. 2018;120:23–9.PubMedCrossRef
69.
Wang J, Liang K, Sun H, Li L, Wang H, Cao J. Psychotherapy combined with drug therapy in patients with category III chronic prostatitis/chronic pelvic pain syndrome: a randomized controlled trial. Int J Urol. 2018;25(8):710–5.PubMedCrossRef
70.
Morgia G, Russo GI, Urzì D, Privitera S, Castelli T, Favilla V, et al. A phase II, randomized, single-blinded, placebo-controlled clinical trial on the efficacy of curcumina and calendula suppositories for the treatment of patients with chronic prostatitis/chronic pelvic pain syndrome type III. Arch Ital di Urol e Androl. 2017;89(2):110–3.CrossRef
71.
72.
•• Guu SJ, Geng JH, Chao IT, Lin HT, Lee YC, Juan YS, et al. Efficacy of low-intensity extracorporeal shock wave therapy on men with chronic pelvic pain syndrome refractory to 3-As therapy. Am J Mens Health. 2018;12(2):441–52 A systematic review of non-pharmacologic management of chronic pelvic pain. PubMedCrossRef
73.
Franco JVA, Turk T, Jung JH, Xiao Y-T, Iakhno S, Garrote V, et al. Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome: a Cochrane systematic review. BJU Int. 2018:12–3.
74.
Qin Z, Liu Y, Zhou K, Wu J, Pang R, Li N, et al. Acupuncture for chronic prostatitis/chronic pelvic pain syndrome: study protocol for a randomized controlled trial. Trials. 2017;18(1):1–7.CrossRef
75.
Saxena R, Gupta M, Shankar N, Jain S, Saxena A. Effects of yogic intervention on pain scores and quality of life in females with chronic pelvic pain. Int J Yoga. 2017;10(1):9–15.PubMedPubMedCentralCrossRef
76.
Ying J, Zhou M, Chen H, Chen L, Zhang W, Ji J, et al. Effect of essential oil on patients with chronic prostatitis/chronic pelvic pain syndrome: a pilot randomized controlled trial. Chin J Integr Med. 2019;25(2):91–5.PubMedCrossRef
77.
Sharma N, Rekha K, Srinivasan J. Efficacy of transcutaneous electrical nerve stimulation in the treatment of chronic pelvic pain. J Midlife Health. 2017;8(1):36–9.PubMedPubMedCentral
78.
Moldwin RM, Fariello JY. Myofascial trigger points of the pelvic floor: associations with urological pain syndromes and treatment strategies including injection therapy. Curr Urol Rep. 2013;14(5):409–17.PubMedCrossRef
79.
Ay S, Evcik D, Tur BS. Comparison of injection methods in myofascial pain syndrome: a randomized controlled trial. Clin Rheumatol. 2010;29(1):19–23.PubMedCrossRef
80.
Huguenin L, Brukner PD, Mccrory P. Effect of dry needling of gluteal muscles on straight leg raise: a randomised, placebo controlled, double blind trial. Br J Sport Med. 2005;39:84–90.CrossRef
81.
Han SC, Harrison P. Myofascial pain syndrome and trigger point management. Reg Anesth. 1996;89–101.
82.
Langford CF, Nagy SU, Ghoniem GM. Levator ani trigger point injections: an underutilized treatment for chronic pelvic pain. Neurourol Urodyn. 2007;26(3):323–7.CrossRef
83.
Halder GE, Scott L, Wyman A, Mora N, Miladinovic B, Bassaly R, Hoyte L. Botox and physical therapy for pelvic pain. 2017;134–9.
84.
Abdel-Meguid T, Mosli H, Farsi H, Al-Sayyad A, Tayeb A, Sait M. Response of refractory category-III nonbacterial chronic prostatitis/chronic pelvic pain syndrome to intraprostatic injection of onabotulinumtoxinA. Eur Urol Suppl. 2016;15(3):e1127.CrossRef
85.
Chuang YC, Chiang PH, Huang CC, Yoshimura N, Chancellor MB. Botulinum toxin type A improves benign prostatic hyperplasia symptoms in patients with small prostates. Urology. 2005;66(4):775–9.PubMedCrossRef
86.
Falahatkar S, Shahab E, Gholamjani Moghaddam K, Kazemnezhad E. Transurethral intraprostatic injection of botulinum neurotoxin type A for the treatment of chronic prostatitis/chronic pelvic pain syndrome: results of a prospective pilot double-blind and randomized placebo-controlled study. BJU Int. 2015;116(4):641–9.CrossRefPubMed
87.
88.
Langford CF, Udvari Nagy S, Ghoniem GM. Levator ani trigger point injections: an underutilized treatment for chronic pelvic pain. Neurourol Urodyn. 2007;26(1):59–62.PubMedCrossRef
89.
Koo VSW, O’Brien A. Local anesthetic and steroidal prostatic injection for chronic pelvic pain syndrome. Clin J Pain. 2011;27(2):166–8.PubMedCrossRef
90.
Doumouchtsis SK, Boama V, Gorti M, Tosson S, Fynes MM. Prospective evaluation of combined local bupivacaine and steroid injections for the management of chronic vaginal and perineal pain. Arch Gynecol Obstet. 2011;284(3):681–5.PubMedCrossRef
91.
Shim J, Dwiggins M, Gomez-Lobo V. Case report: Intralesional steroid injections for recurrent vaginal strictures. Pediatr Adolesc Gynecol. 2018;31:526–7.CrossRef
92.
Kim SH, Kim DH, Yoon DM, Yoon KB. Clinical effectiveness of the obturator externus muscle injection in chronic pelvic pain patients. Pain Pract. 2015;15(1):40–6.PubMedCrossRef
93.
Ozkan D, Akkaya T, Yildiz S, Comert A. Ultraschallgeführte gepulste Radiofrequenzbehandlung des N. pudendus bei chronischem Beckenschmerz. Anaesthesist. 2016;65(2):134–6.PubMedCrossRef
94.
Collard M, Yin X, Patel A, Scott K, Chhabra A. Abstract No. 580 Initial experience of CT-guided pulsed radiofrequency ablation of the pudendal nerve for chronic recalcitrant pelvic pain. J Vasc Interv Radiol. 2018;29(4):S242.CrossRef
95.
Nagpal AS, Moody EL. Interventional management for pelvic pain. Phys Med Rehabil Clin N Am. 2017;28(3):621–46.PubMedCrossRef
96.
Benzon HT, Rathmell JP, Wu CL, Turk DC, Argoff CE, Hurley RW. Practical management of pain. 1115 p.
97.
Schultz DM. Inferior hypogastric plexus blockade: a transsacral approach. 2007.
98.
Mohamed SAE, Ahmed DC, Mohamad MF. Chemical neurolysis of the inferior hypogastric plexus for the treatment of cancer-related pelvic and perineal pain. Pain Res Manag. 2013;18(5):249–52.PubMedPubMedCentralCrossRef
99.
Le Clerc Q, Riant T, Levesque A, Labat J, Ploteau S, Robert R. Repeated ganglion impar block in a cohort of 83 patients with chronic pelvic and perineal pain. 2017;823–8.
100.
Anderson RU, Wise D, Sawyer T, Glowe P, Orenberg EK. 6-day intensive treatment protocol for refractory chronic prostatitis/chronic pelvic pain syndrome using myofascial release and paradoxical relaxation training. J Urol. 2011;185(4):1294–9.PubMedCrossRef
101.
Anderson RU, Harvey RH, Wise D, Nevin Smith J, Nathanson BH, Sawyer T. Chronic pelvic pain syndrome: reduction of medication use after pelvic floor physical therapy with an internal myofascial trigger point wand. Appl Psychophysiol Biofeedback. 2015;40(1):45–52.PubMedCrossRef
102.
Bozzini G, Provenzano M, Buffi N, Seveso M, Lughezzani G, Guazzoni G, et al. An observational study of the use of beclomethasone dipropionate suppositories in the treatment of lower urinary tract inflammation in men. BMC Urol. 2016;16(1):25.PubMedPubMedCentralCrossRef
103.
Yang M, Zhao X, Wu Z, Xiao N, Lü C, Hou Y. Corticoid combined with an antibiotic for chronic nonbacterial prostatitis. Zhonghua Nan Ke Xue. 2009;15(3):237–40.PubMed
104.
Doiron RC, Nickel JC. Review: Management of chronic prostatitis/chronic pelvic pain syndrome. 2018;12(6):161–3.
105.
Fritz J, Chhabra A, Wang KC, Carrino JA. Magnetic resonance neurography-guided nerve blocks for the diagnosis and treatment of chronic pelvic pain syndrome. Neuroimaging Clin N Am. 2014;24(1):211–34.PubMedCrossRef
106.
Laviana A, Jellison F, Kim J-H. Sacral neuromodulation for refractory overactive bladder, interstitial cystitis, and painful bladder syndrome. Neurosurg Clin N Am. 2014;25(1):33–46.PubMedCrossRef
107.
Tam J, Loeb C, Grajower D, Kim J, Weissbart S. Neuromodulation for chronic pelvic pain. Curr Urol Rep. 2018;19(5):32.PubMedCrossRef
108.
Roy H, Offiah I, Dua A, Roy H, Offiah I, Dua A. Neuromodulation for pelvic and urogenital pain. Brain Sci. 2018;8(10):180.PubMedCentralCrossRef
109.
Cappellano F, Ciotti GM, Tafuri A, Munch C, Bassi S, Balzarro M, Porcaro AB, Rubilotta E, Wiesmayr M, Obrero C, Metcalf L, Mariani L, Artibani W, Cerruto MA. Cycling sacral root neuromodulation: pilot study to assess the effectiveness of this mode in neuromodulator programming for the treatment of chronic pelvic pain syndrome. 2017.
110.
Peters KM, Feber KM, Bennett RC. Sacral versus pudendal nerve stimulation for voiding dysfunction: a prospective, single-blinded, randomized, crossover trial. Neurourol Urodyn. 2005;24(7):643–7.PubMedCrossRef
111.
Brichant G, Denef M, Tebache L, Poismans G, Pinzauti S, Dechenne V, et al. Chronic pelvic pain and the role of exploratory laparoscopy as diagnostic and therapeutic tool: a retrospective observational study. Gynecol Surg. 2018;15(1):13.CrossRef
112.
Lamvu G. Role of hysterectomy in the treatment of chronic pelvic pain. Obstet Gynecol. 2011;117(5):1175–8.PubMedCrossRef
113.
Deer TR, Levy RM, Kramer J, Poree L, Amirdelfan K, Grigsby E, et al. Dorsal root ganglion stimulation yielded higher treatment success rate for complex regional pain syndrome and causalgia at 3 and 12 months. Pain. 2017;158(4):669–81.PubMedCrossRef
114.
Levine AB, Parrent AG, MacDougall KW. Stimulation of the spinal cord and dorsal nerve roots for chronic groin, pelvic, and abdominal pain. Pain Physician. 2016;19(6):405–12.PubMed
115.
Simpson LR, Mahmood T. Medical and surgical management of chronic pelvic pain. Obstet Gynaecol Reprod Med. 2017;27(1):14–21.CrossRef
116.
• Mowers E, Lim C, Skinner B, Nichole M, Daniel M, As-Sanie S. Characteristics of women undergoing hysterectomy for chronic pelvic pain: prevalence and risk factors for endometriosis. J Minim Invasive Gynecol. 2015;22(6):S232 A review of sacral neuromodulation for the management of pelvic floor disorders. PubMedCrossRef
117.
Yamamoto M, Foster K, Howard F. Long term outcomes after a hysterectomy for chronic pelvic pain: a pelvic pain center experience. J Minim Invasive Gynecol. 2012;19.
118.
Daniels J, Gray R, Hills RK, Latthe P, Buckley L, Gupta J, et al. Laparoscopic uterosacral nerve ablation for alleviating chronic pelvic pain—a randomized controlled trial. JAMA. 2009;302(9):955.PubMedCrossRef
119.
Corson SL. Laparoscopic uterosacral nerve ablation for alleviating chronic pelvic pain: a randomized controlled trial. J Minim Invasive Gynecol. 2010;17(1):131.
120.
Schoeb DS, Schlager D, Boeker M, Wetterauer U, Schoenthaler M, Herrmann TRW, et al. Surgical therapy of prostatitis: a systematic review. World J Urol. 2017;35(11):1659–68.PubMedCrossRef
121.
Chopra S, Satkunasivam R, Aron M. Feasibility of robotic radical prostatectomy for medication refractory chronic prostatitis/chronic pelvic pain syndrome: initial results. Indian J Urol. 2016;32(3):238–41.PubMedPubMedCentralCrossRef
122.
123.
Speer LM, Mushkbar S, Erbele T. Chronic pelvic pain in women. Am Fam Physician. 2016;93(5):380–7.PubMed
Metadaten
Titel
A Comprehensive Review of the Diagnosis, Treatment, and Management of Urologic Chronic Pelvic Pain Syndrome
verfasst von
Leena Adamian
Ivan Urits
Vwaire Orhurhu
Dylan Hoyt
Rebecca Driessen
John A. Freeman
Alan D. Kaye
Rachel J. Kaye
Andrew J. Garcia
Elyse M. Cornett
Omar Viswanath
Publikationsdatum
01.06.2020
Verlag
Springer US
Erschienen in
Current Pain and Headache Reports / Ausgabe 6/2020
Print ISSN: 1531-3433
Elektronische ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-020-00857-9

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