Purpose of Review

Urologic chronic pelvic pain syndrome (UCPPS) is a chronic, noncyclic pain condition which can lead to significant patient morbidity and disability. It is defined by pain in the pelvic region, lasting for greater than 3 to 6 months, with no readily identifiable disease process. The aim of this review is to provide a comprehensive update of diagnosis and treatment of UCPPS.

Recent Findings

UCPPS encompasses chronic pelvic pain syndrome or chronic prostatitis (CP/CPPS) in men and interstitial cystitis or painful bladder syndrome (IC/PBS) in women. Underlying inflammatory, immunologic, and neuropathic components have been implicated in the pathogenesis of UCPPS.

Summary

For optimal patient management, an individualized and multimodal approach is recommended. Medical management and physical therapy are the mainstays of treatment. Injection therapy may offer additional relief in medically refractory patients. Further minimally invasive management may include spinal cord and peripheral nerve stimulation, though evidence supporting efficacy is limited.

中文翻译：

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泌尿科慢性盆腔痛综合征的诊断，治疗和管理的全面回顾。

审查目的

泌尿科慢性盆腔疼痛综合征（UCPPS）是一种慢性非周期性疼痛病状，可能导致患者大量发病和致残。它的定义是骨盆区域的疼痛，持续超过3至6个月，没有容易识别的疾病过程。这篇综述的目的是提供UCPPS的诊断和治疗的全面更新。

最近的发现

UCPPS包括男性的慢性盆腔疼痛综合征或慢性前列腺炎（CP / CPPS）和女性的间质性膀胱炎或疼痛性膀胱综合征（IC / PBS）。潜在的炎症，免疫和神经病性成分已与UCPPS的发病机理有关。

概要

为了实现最佳的患者管理，建议采用个性化的多模式方法。医疗管理和物理疗法是治疗的主要手段。注射疗法可为难治性患者提供额外的缓解。尽管支持疗效的证据有限，但进一步的微创治疗可能包括脊髓和周围神经刺激。