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Erschienen in: Die Urologie 6/2023

29.04.2023 | Schmerzsyndrome | Leitthema

Chronische Prostatitis/chronisches Beckenschmerzsyndrom

verfasst von: PD. Dr. med. G. Magistro, F. M. E. Wagenlehner, A. Pilatz

Erschienen in: Die Urologie | Ausgabe 6/2023

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Zusammenfassung

Die chronische Prostatitis/chronisches Beckenschmerzsyndrom (CP/CPPS) ist definiert als chronischer Schmerz oder Missempfindung im Beckenbereich für mindestens 3 Monate im letzten Halbjahr und weist eine häufige Assoziation mit Miktionsbeschwerden, psychosozialen Störungen und sexueller Dysfunktion auf. Weder Biomarker noch spezifische Testverfahren stehen für die eindeutige Diagnosestellung zur Verfügung. Die Basisdiagnostik bildet differenziert das individuelle Beschwerdebild des Patienten ab und schließt potenzielle Differentialdiagnosen für Beckenschmerzen aus. „Patient-reported outcome measures“ (PROMs) wie der Chronic Prostatitis Symptom Index (CPSI) sind validierte Instrumente zur objektiven Erfassung der Symptomatik und eignen sich für das initiale Assessment und weitere Therapiemonitoring. Das UPOINTS-Schema („urinary, psychosocial, organ specific, infection, neurologic/systemic, tenderness, sexual dysfunction“) bildet das individuelle Beschwerdebild der Patienten ab, weist den weiteren Weg der diagnostischen Abklärung auf und bestimmt das multimodale und personalisierte Therapiekonzept. Eine engmaschige urologische Begleitung der CP/CPPS-Patienten ist in der Regel notwendig, um insbesondere den unreflektierten Einsatz von Antibiotika bei wellenförmigen Beschwerden zu minimieren.
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Metadaten
Titel
Chronische Prostatitis/chronisches Beckenschmerzsyndrom
verfasst von
PD. Dr. med. G. Magistro
F. M. E. Wagenlehner
A. Pilatz
Publikationsdatum
29.04.2023
Verlag
Springer Medizin
Erschienen in
Die Urologie / Ausgabe 6/2023
Print ISSN: 2731-7064
Elektronische ISSN: 2731-7072
DOI
https://doi.org/10.1007/s00120-023-02089-2

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