Chronic pelvic pain syndrome: Difference between revisions
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(Created page with "=== Clinic === * Chronic Prostatitis/ Chronic pelvic pain syndrome (CP/CPPS), previously known as chronic nonbacterial prostatitis * It is long-term pelvic pain and lower urinary tract symptoms (LUTS) without evidence of a bacterial infection. * It affects about 2–6% of men. Together with IC/BPS, it makes up urologic chronic pelvic pain syndrome (UCPPS). * The cause is unknown. === Signs / Symptoms === * Chronic pelvic or perineal pain without evidence of urinary...") |
(→Miasm) |
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* It affects about 2–6% of men. Together with IC/BPS, it makes up urologic chronic pelvic pain syndrome (UCPPS). | * It affects about 2–6% of men. Together with IC/BPS, it makes up urologic chronic pelvic pain syndrome (UCPPS). | ||
* The cause is unknown. | * The cause is unknown. | ||
=== Signs / Symptoms === | === Signs / Symptoms === | ||
| Line 16: | Line 17: | ||
* Some patients report low libido, sexual dysfunction and erectile difficulties | * Some patients report low libido, sexual dysfunction and erectile difficulties | ||
=== | |||
=== Causation === | |||
==== Pelvic floor dysfunction theory ==== | ==== Pelvic floor dysfunction theory ==== | ||
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==== Bacterial infection ==== | ==== Bacterial infection ==== | ||
The bacterial infection theory was shown to be unimportant in a 2003 study which found that people with and without the condition had equal counts of similar bacteria colonizing their prostates. | The bacterial infection theory was shown to be unimportant in a 2003 study which found that people with and without the condition had equal counts of similar bacteria colonizing their prostates. | ||
=== Overlap with IC/PBS === | === Overlap with IC/PBS === | ||
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* There is a potential relationships between UCPPS and other chronic conditions that are sometimes seen in IC/PBS and CP/CPPS patients, such as [[Irritable bowel syndrome (IBS)|Irritable bowel syndrome]], [[fibromyalgia]], and [[CFS, Chronic Fatigue syndrome|Chronic fatigue syndrome]]. | * There is a potential relationships between UCPPS and other chronic conditions that are sometimes seen in IC/PBS and CP/CPPS patients, such as [[Irritable bowel syndrome (IBS)|Irritable bowel syndrome]], [[fibromyalgia]], and [[CFS, Chronic Fatigue syndrome|Chronic fatigue syndrome]]. | ||
=== | === Related disease === | ||
* It has not only unknown etiologies but also it has very loose border with other similar disease. | * It has not only unknown etiologies but also it has very loose border with other similar disease. | ||
* I think, nothing except miasms could explain the extent of Sign / Symptoms and also the undefined borders of CP/CPPS with | * I think, nothing except miasms could explain the extent of Sign / Symptoms and also the undefined borders of CP/CPPS with | ||
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** [[Prostatitis]] | ** [[Prostatitis]] | ||
** [[Interstitial cystitis]] | ** [[Interstitial cystitis]] | ||
=== [[Miasm]] === | |||
* Male, Pain | |||
* Dysuria | |||
* Frequemcy | |||
* Fatigue | |||
The best miasm would be [[HSV-1, Herpes Simplex Virus|HSV-1]] and [[HSV-2, Herpes Simplex Virus|HSV-2]] | The best miasm would be [[HSV-1, Herpes Simplex Virus|HSV-1]] and [[HSV-2, Herpes Simplex Virus|HSV-2]] | ||
Latest revision as of 03:41, 24 April 2023
Clinic
- Chronic Prostatitis/ Chronic pelvic pain syndrome (CP/CPPS), previously known as chronic nonbacterial prostatitis
- It is long-term pelvic pain and lower urinary tract symptoms (LUTS) without evidence of a bacterial infection.
- It affects about 2–6% of men. Together with IC/BPS, it makes up urologic chronic pelvic pain syndrome (UCPPS).
- The cause is unknown.
Signs / Symptoms
- Chronic pelvic or perineal pain without evidence of urinary tract infection
- Pain may radiate to the back and rectum, making sitting uncomfortable.
- Pain can be present in the perineum, testicles, tip of penis, pubic or bladder area.
- Dysuria, arthralgia, myalgia, unexplained fatigue, abdominal pain, constant burning pain in the penis, and frequency may all be present.
- Frequent urination and increased urgency may suggest interstitial cystitis
- Post-ejaculatory pain, mediated by nerves and muscles, is a hallmark of the condition, and serves to distinguish CP/CPPS patients from men with BPH or normal men.
- Some patients report low libido, sexual dysfunction and erectile difficulties
Causation
Pelvic floor dysfunction theory
- CP/CPPS maybe a psychoneuromuscular (psychological, neurological, and muscular) disorder.
- Anxiety or stress results in chronic, unconscious contraction of the pelvic floor muscles, leading to the formation of trigger points and pain.
- The pain results in further anxiety and thus worsening of the condition.
HPA axis theory
Stress-driven hypothalamic–pituitary–adrenal axis dysfunction and adrenocortical hormone abnormalities or peripheral nerves inflammation maybe the etiology of CP/CPPS
Bacterial infection
The bacterial infection theory was shown to be unimportant in a 2003 study which found that people with and without the condition had equal counts of similar bacteria colonizing their prostates.
Overlap with IC/PBS
- Interstitial Cystitis, Painful Bladder Syndrome and CP/CPPS could be under the umbrella term Urologic Chronic Pelvic Pain Syndromes (UCPPS)
- UCPPS is a term adopted by the network to encompass both IC/BPS and CP/CPPS, which are proposed as related based on their similar symptom profiles
- There is a potential relationships between UCPPS and other chronic conditions that are sometimes seen in IC/PBS and CP/CPPS patients, such as Irritable bowel syndrome, fibromyalgia, and Chronic fatigue syndrome.
Related disease
- It has not only unknown etiologies but also it has very loose border with other similar disease.
- I think, nothing except miasms could explain the extent of Sign / Symptoms and also the undefined borders of CP/CPPS with
Miasm
- Male, Pain
- Dysuria
- Frequemcy
- Fatigue