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Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Male Bladder Pain Syndrome/Interstitial Cystitis: How Are They Related?

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대한요로생식기감염학회|2017.04|Urogenital Tract Infection|제12권 제1호|pp. 15-21

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ClassificationMaleDiagnosisPelvic painSyndrome
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초록

To date, the heterogeneous pathophysiology of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and bladder pain syndrome/interstitial cystitis (BPS/IC) has not been fully elucidated. Thus, it is difficult to make a full comparison between CP/CPPS and male BPS/IC. Controversy and confusion surrounding the terminologies and classifications of CP/CPPS and BPS/IC complicates the issue. CP/CPPS and male BPS/IC are not mutually exclusive conditions, in that they have similarities in their pathogenesis and clinical presentation. Based on the working definitions of these terms, it would be correct to say that male BPS/IC is subsumed by CP/CPPS, and that male BPS/IC can be regarded as CP/CPPS with clear bladder-specific features. Although the term CP/CPPS may be inappropriate, especially since “CP” may be misleading, the perspective that CP/CPPS and male BPS/IC are male urological chronic pain syndromes could enhance the understanding of the relationship between the two. The European Association of Urology classification for chronic pelvic pain is systematic and corresponds well with our knowledge of chronic pain. Therefore, this classification might be the solution to the problems associated with the existing terminologies and taxonomy of CP/CPPS and BPS/IC. In the management of urological chronic pelvic pain in men, clinical phenotyping systems (the UPOINT or UPOINTs system) profile patients and indicate how tailored treatment could be achieved as individualized, multimodal therapeutic regimens. It would be prudent to include bladder-specific features, such as painful filling or painful urgency, in the criteria for the organ-specific domain of the UPOINT(s) system.

Abstract

To date, the heterogeneous pathophysiology of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and bladder pain syndrome/interstitial cystitis (BPS/IC) has not been fully elucidated. Thus, it is difficult to make a full comparison between CP/CPPS and male BPS/IC. Controversy and confusion surrounding the terminologies and classifications of CP/CPPS and BPS/IC complicates the issue. CP/CPPS and male BPS/IC are not mutually exclusive conditions, in that they have similarities in their pathogenesis and clinical presentation. Based on the working definitions of these terms, it would be correct to say that male BPS/IC is subsumed by CP/CPPS, and that male BPS/IC can be regarded as CP/CPPS with clear bladder-specific features. Although the term CP/CPPS may be inappropriate, especially since “CP” may be misleading, the perspective that CP/CPPS and male BPS/IC are male urological chronic pain syndromes could enhance the understanding of the relationship between the two. The European Association of Urology classification for chronic pelvic pain is systematic and corresponds well with our knowledge of chronic pain. Therefore, this classification might be the solution to the problems associated with the existing terminologies and taxonomy of CP/CPPS and BPS/IC. In the management of urological chronic pelvic pain in men, clinical phenotyping systems (the UPOINT or UPOINTs system) profile patients and indicate how tailored treatment could be achieved as individualized, multimodal therapeutic regimens. It would be prudent to include bladder-specific features, such as painful filling or painful urgency, in the criteria for the organ-specific domain of the UPOINT(s) system.

참고문헌 (45)

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관련 논문AI추천

Is Urethral Pain Syndrome Really Part of Bladder Pain Syndrome?조성태대한요로생식기감염학회 · Urogenital Tract Infection2017 · 제12권 제1호UPOINT System: A Diagnostic/Therapeutic Algorithm for Chronic Prostatitis/Chronic Pelvic Pain Syndrome송필현대한요로생식기감염학회 · Urogenital Tract Infection2020 · 제15권 제2호Proposed New Pathophysiology of Chronic Prostatitis/Chronic Pelvic Pain Syndrome민승기, 조인창대한요로생식기감염학회 · Urogenital Tract Infection2015 · 제10권 제2호전립선염에 대한 UPOINT 개념의 검토정승일대한요로생식기감염학회 · Urogenital Tract Infection2012 · 제7권 제1호The Diagnosis of Chronic Pelvic Pain: How Can We Detect Urological Pain?김용태, 조정기대한배뇨장애요실금학회 · International Neurourology Journal2022 · 제26권 제2호Current Understanding and Future Perspectives of Interstitial Cystitis/Bladder Pain SyndromeJane M. Meijlink, Naoki Yoshimura, Philip M. Hanno, Ryoichi Saito, Tomohiro Ueda대한배뇨장애요실금학회 · International Neurourology Journal2021 · 제25권 제2호

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