Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-10-31T23:27:24.081Z Has data issue: false hasContentIssue false

Chapter 36 - Chronic Pelvic Pain

from Part VI - Misc

Published online by Cambridge University Press:  01 December 2023

Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
Get access

Summary

Chronic pelvic pain lasting over six months and not related to menstrual cycle is a condition experienced by women, and there are numerous causes, including gynecologic, urologic, gastrointestinal, musculoskeletal, neurologic, and psychological factors. Women who have suffered sexual, physical, or emotional trauma are at a higher risk of developing chronic pelvic pain, and they also have higher rates of psychological disorders than their peers. Men, on the other hand, commonly experience chronic pelvic pain due to chronic prostatitis and may also have psychological disorders. There are various treatment options, such as surgery, medication, and nonpharmacological therapies, including alternative therapies. Cognitive-behavioral therapy is an additional treatment option that should be considered when treating chronic pelvic pain syndrome.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Grinberg, K, Sela, Y, Nissanholtz-Gannot, R. New insights about chronic pelvic pain syndrome (CPPS). Int J Environ Res Public Health. 2020;17(9):3005. https://doi.org/10.3390/ijerph17093005.CrossRefGoogle ScholarPubMed
Clemens, JQ, Mullins, C, Ackerman, AL et al. Urologic chronic pelvic pain syndrome: Insights from the MAPP research network. Nat Rev Urol. 2019;16(3):187200. https://doi.org/10.1038/s41585-018-0135-5.CrossRefGoogle ScholarPubMed
Ahangari, A. Prevalence of chronic pelvic pain among women: An updated review. Pain Physician. 2014;17:141147.CrossRefGoogle ScholarPubMed
Pena, VN, Engel, N, Gabrielson, AT, Rabinowitz, MJ, Herati, AS. Diagnostic and management strategies for patients with chronic prostatitis and chronic pelvic pain syndrome. Drugs Aging. 2021;38(10):845886. https://doi.org/10.1007/s40266-021-00890-2.CrossRefGoogle ScholarPubMed
Lee, SWH, Liong, ML, Yuen, KH et al. Adverse impact of sexual dysfunction in chronic prostatitis/chronic pelvic pain syndrome. Urology. 2008;71(1):7984.CrossRefGoogle ScholarPubMed
Collins, MM, Pontari, MA, O’Leary, MP et al. Quality of life is impaired in men with chronic prostatitis: The chronic prostatitis collaborative research network. J Gen Intern Med. 2001;16(10):656662.CrossRefGoogle Scholar
Rees, J, Abrahams, M, Doble, A, Cooper, A, Prostatitis Expert Reference Group (PERG). Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: A consensus guideline. BJU Int. 2015;116(4):509525. https://doi.org/10.1111/bju.13101.CrossRefGoogle ScholarPubMed
Hou, DS, Long, WM, Shen, J et al. Characterisation of the bacterial community in expressed prostatic secretions from patients with chronic prostatitis/chronic pelvic pain syndrome and infertile men: A preliminary investigation. Asian J Androl. 2012;14(4):566573. https://doi.org/10.1038/aja.2012.30.CrossRefGoogle Scholar
Weidner, W, Schiefer, HG, Krauss, H et al. Chronic prostatitis: A thorough search for etiologically involved microorganisms in 1,461 patients. Infection. 1991;19(Suppl 3):S119S125. https://doi.org/10.1007/BF01643680.CrossRefGoogle Scholar
Pontari, MA, McNaughton-Collins, M, O’Leary, MP et al. A case-control study of risk factors in men with chronic pelvic pain syndrome. BJU Int. 2005;96(4):559565.CrossRefGoogle ScholarPubMed
Alexander, RB, Brady, F, Ponniah, S. Autoimmune prostatitis: Evidence of T cell reactivity with normal prostatic proteins. Urology. 1997;50(6):893899. https://doi.org/10.1016/S0090-4295(97)00456-1.CrossRefGoogle ScholarPubMed
Pontari, MA, Ruggieri, MR. Mechanisms in prostatitis/chronic pelvic pain syndrome. J Urol. 2004;172(3):839845. https://doi.org/10.1097/01.ju.0000136002.76898.04.CrossRefGoogle ScholarPubMed
Ishigooka, M, Zermann, D, Doggweiler, R, Schmidt, RA. Similarity of distributions of spinal c-fos and plasma extravasation after acute chemical irritation of the bladder and the prostate. J Urol. 2000;164(5):17511756.CrossRefGoogle ScholarPubMed
Miller, LJ, Fischer, KA, Goralnick, SJ et al. Nerve growth factor and chronic prostatitis/chronic pelvic pain syndrome. Urology. 2002;59(4):603608.CrossRefGoogle ScholarPubMed
Woodworth, D, Mayer, E, Leu, K et al. Unique microstructural changes in the brain associated with urological chronic pelvic pain syndrome (UCPPS) revealed by diffusion tensor MRI, super-resolution track density imaging, and statistical parameter mapping: A MAPP network neuroimaging study. PLoS One. 2015;10(10): e0140250.CrossRefGoogle ScholarPubMed
Næss, I, , K. Pelvic floor muscle function in women with provoked vestibulodynia and asymptomatic controls. Int Urogynecol J. 2015;26(10):14671473. https://doi.org/10.1007/s00192-015-2660-6.CrossRefGoogle ScholarPubMed
Davis, SN, Morin, M, Binik, YM, Khalife, S, Carrier, S. Use of pelvic floor ultrasound to assess pelvic floor muscle function in urological chronic pelvic pain syndrome in men. J Sex Med. 2011;8(11):31733180.CrossRefGoogle ScholarPubMed
Diserio, GP, Carrizo, AE, Pacheco-Rupil, B, Nowotny, E. Effect of male accessory glands autoaggression on androgenic cytosolic and nuclear receptors of rat prostate. Cell Mol Biol. 1992;38:201207.Google ScholarPubMed
Naslund, MJ, Strandberg, JD, Coffey, DS. The role of androgens and estrogens in the pathogenesis of experimental nonbacterial prostatitis. J Urol. 1988;140(5):10491053.CrossRefGoogle ScholarPubMed
Litwin, MS, McNaughton-Collins, M, Fowler, FJ et al. The National Institutes of Health chronic prostatitis symptom index: Development and validation of a new outcome measure. J Urol. 1999;162(2):369375.CrossRefGoogle ScholarPubMed
Shoskes, DA, Nickel, JC, Rackley, RR, Pontari, MA. Clinical phenotyping in chronic prostatitis/chronic pelvic pain syndrome and interstitial cystitis: A management strategy for urologic chronic pelvic pain syndromes. Prostate Cancer Prostatic Dis. 2009;12(2):177183.CrossRefGoogle ScholarPubMed
Evliyaoğlu, Y, Burgut, R. Lower urinary tract symptoms, pain and quality of life assessment in chronic non-bacterial prostatitis patients treated with alpha-blocking agent doxazosin; versus placebo. Int Urol Nephrol. 2002;34(3):351356. https://doi.org/10.1023/a:1024487604631.CrossRefGoogle ScholarPubMed
Leskinen, M, Lukkarinen, O, Marttila, T. Effects of finasteride in patients with inflammatory chronic pelvic pain syndrome: A double-blind, placebo-controlled, pilot study. Urology. 1999;53(3):502505. https://doi.org/10.1016/s0090-4295(98)00540-8.CrossRefGoogle ScholarPubMed
Zhao, WP, Zhang, ZG, Li, XD et al. Celecoxib reduces symptoms in men with difficult chronic pelvic pain syndrome (Category IIIA). Braz J Med Biol Res. 2009;42(10):963967. https://doi.org/10.1590/s0100-879x2009005000021.CrossRefGoogle ScholarPubMed
Pontari, MA, Krieger, JN, Litwin, MS et al. Pregabalin for the treatment of men with chronic prostatitis/chronic pelvic pain syndrome: A randomized controlled trial. Arch Intern Med. 2010;170(17):15861593. https://doi.org/10.1001/archinternmed.2010.319.CrossRefGoogle ScholarPubMed
Anderson, RU, Wise, D, Sawyer, T, Chan, C. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. J Urol. 2005;174(1):155160.CrossRefGoogle ScholarPubMed
Anderson, RU, Wise, D, Sawyer, T, Chan, CA. Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: Improvement after trigger point release and paradoxical relaxation training. J Urol. 2006;176(4 Pt 1):15341539. https://doi.org/10.1016/j.juro.2006.06.010.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×