Chronic Pelvic Pain Syndrome/CPPS

Date:2019-12-09 click:

Chronic pelvic pain syndrome is a kind of disease that makes male doctors frustrated and patients confused. In the past 10 years, clinical manifestations of patients with prostatitis include pain or discomfort in the lumbosacral area, perineum, abdominal, testis, and there is no obvious direct relationship with prostate anatomy. Therefore, in 1995, the National Institutes of Health (NIH) believed that the diagnosis of chronic pelvic pain syndrome was more accurate.
Chronic pelvic pain syndrome (CPPS), including nonbacterial prostatitis (NBP) and prostatodynia (PDY), is a clinical syndrome with pelvic pain and discomfort as the main symptoms, accompanied by various urination symptoms and sexual dysfunction, but prostate infection can not be confirmed. It may be caused by an unknown pathogenic microorganism, a noninfectious disease, or pelvic tension myalgia unrelated to the prostate itself.
Chronic pelvic pain syndrome is common in young adults aged 20-45 years. The main symptoms are as follows:
(1) Pain and discomfort in perineum, pubis, penis, scrotum, groin, lower back, and urethra, especially in tip of the penis and glans.
(2) Various degrees of urinary tract stimulation or urinary obstruction include urgency, frequency, pain, hesitation, interruption of urination, weak urine flow and post micturition dribble.
(3) Pain and discomfort after ejaculation.
There were no abnormal findings in a routine physical examination and nervous system examination of chronic pelvic pain syndrome, but most patients could find that the anal sphincter was tight, tenderness in the prostate, and the tissue around the prostate was tense. Mild and moderate bladder neck obstruction and varying degrees of the trabeculated bladder could be shown in Cystoscopy.
1. Local treatment
1.1 Prostate injection
1.2 Transurethral administration
1.3 Administration via vas deferens injection
1.4 Rectal administration
1.5 Submucous injection of anal canal

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