Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Pelvic Floor Spasm: Can We Diagnose and Treat?

National Institutes of Health category III prostatitis, also known as chronic prostatitis/chronic pelvic pain syndrome, is a common condition with significant impact on quality of life. This clinically defined syndrome has a multifactorial etiology and seems to respond best to multimodal therapy. At...

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Bibliographic Details
Published in:Current urology reports 2010-07, Vol.11 (4), p.261-264
Main Authors: Westesson, Karin E., Shoskes, Daniel A.
Format: Article
Language:English
Subjects:
Combined Modality Therapy
Humans
Male
Medicine
Medicine & Public Health
Muscular Diseases - complications
Muscular Diseases - diagnosis
Muscular Diseases - therapy
Nephrology
Pelvic Floor
Prostatitis - complications
Prostatitis - therapy
Spasm - complications
Spasm - diagnosis
Spasm - therapy
Urology
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Summary:National Institutes of Health category III prostatitis, also known as chronic prostatitis/chronic pelvic pain syndrome, is a common condition with significant impact on quality of life. This clinically defined syndrome has a multifactorial etiology and seems to respond best to multimodal therapy. At least half of these patients have pelvic floor spasm. There are several approaches to therapy including biofeedback, acupuncture, and myofascial release physical therapy. However, the only multicenter study of pelvic floor physical therapy for pelvic floor spasm in men failed to show an advantage over conventional Western massage. We have proposed a clinical phenotyping system called UPOINT to classify patients with urologic chronic pelvic pain and subsequently direct appropriate therapy. Here, we review the current approach to category III prostatitis and describe how clinical phenotyping with UPOINT may improve therapy outcomes.
ISSN:1527-2737
1534-6285
DOI:10.1007/s11934-010-0111-y