[Psychosomatic Aspects of the Chronic Pelvic Pain Syndrome]

Overview

Journal Urologe A

Specialty Urology

Date 2004 Mar 27

PMID 15045182

Citations 4

Authors

H J Berberich

M Ludwig

Affiliations

Soon will be listed here.

Abstract

Epidemiologic data have demonstrated the significance of chronic prostatitis/chronic pelvic pain syndrome (CP/CPSS) for the urological practice. Apart from the rare cases of bacterial prostatitis numerous somatic models have failed to completely explain pathogenetic interrelations; therapeutic attempts frequently have produced unsatisfactory results. Additionally, psychosomatic factors have often been neglected. A number of personality variables have turned out to play an important role in questionnaire-based studies, namely somatization and depression, as well as anxiety, hypochondriasis, and weak masculine identity. However, these preliminary results need further evaluation. In the future, diagnostic and therapeutic strategies should pay attention to the complex interweavement of somatic and psychogenic factors in the pathogenesis of CP/CPSS.

Citing Articles

[Chronic pelvic pain].

Moormann O, Gralow I Schmerz. 2014; 28(3):305-10.

PMID: 24903045 DOI: 10.1007/s00482-014-1409-3.

[Long-term effects of osteopathic treatment of chronic prostatitis with chronic pelvic pain syndrome: a 5-year follow-up of a randomized controlled trial and considerations on the pathophysiological context].

Marx S, Cimniak U, Rutz M, Resch K Urologe A. 2013; 52(3):384-90.

PMID: 23354911 DOI: 10.1007/s00120-012-3075-3.

[Psychosomatic urology. A practice-oriented presentation].

Schwinges-Lymberopoulos M Urologe A. 2010; 49(6):767-73.

PMID: 20495779 DOI: 10.1007/s00120-010-2325-5.

[Chronic prostatitis/chronic pelvic pain syndrome. Influence of osteopathic treatment - a randomized controlled study].

Marx S, Cimniak U, Beckert R, Schwerla F, Resch K Urologe A. 2009; 48(11):1339-45.

PMID: 19705093 DOI: 10.1007/s00120-009-2088-z.

References

Mayo M, Ross S, Krieger J . Few patients with "chronic prostatitis" have significant bladder outlet obstruction. Urology. 1998; 52(3):417-21. DOI: 10.1016/s0090-4295(98)00202-7. View

de la Rosette J, Hubregtse M, Meuleman E, Debruyne F . Diagnosis and treatment of 409 patients with prostatitis syndromes. Urology. 1993; 41(4):301-7. DOI: 10.1016/0090-4295(93)90584-w. View

Keltikangas-Jarvinen L, Jarvinen H, Lehtonen T . Psychic disturbances in patients with chronic prostatis. Ann Clin Res. 1981; 13(1):45-9. View

Berghuis J, Heiman J, Rothman I, Berger R . Psychological and physical factors involved in chronic idiopathic prostatitis. J Psychosom Res. 1996; 41(4):313-25. DOI: 10.1016/s0022-3999(96)00157-2. View

Hruz P, Danuser H, Studer U, Hochreiter W . Non-inflammatory chronic pelvic pain syndrome can be caused by bladder neck hypertrophy. Eur Urol. 2003; 44(1):106-10; discussion 110. DOI: 10.1016/s0302-2838(03)00203-3. View

Screponi E, Carosa E, Di Stasi S, Pepe M, Carruba G, Jannini E . Prevalence of chronic prostatitis in men with premature ejaculation. Urology. 2001; 58(2):198-202. DOI: 10.1016/s0090-4295(01)01151-7. View

Eisenberg E, Moldwin R . Etiology: where does prostatitis stop and interstitial cystitis begin?. World J Urol. 2003; 21(2):64-9. DOI: 10.1007/s00345-003-0337-0. View

Collins M, Stafford R, OLeary M, Barry M . How common is prostatitis? A national survey of physician visits. J Urol. 1998; 159(4):1224-8. View

Potts J . Chronic pelvic pain syndrome: a non-prostatocentric perspective. World J Urol. 2003; 21(2):54-6. DOI: 10.1007/s00345-003-0327-2. View

10.

Kaplan S, Santarosa R, DAlisera P, Fay B, Ikeguchi E, Hendricks J . Pseudodyssynergia (contraction of the external sphincter during voiding) misdiagnosed as chronic nonbacterial prostatitis and the role of biofeedback as a therapeutic option. J Urol. 1997; 157(6):2234-7. View

11.

Egan K, Krieger J . Psychological problems in chronic prostatitis patients with pain. Clin J Pain. 1994; 10(3):218-26. DOI: 10.1097/00002508-199409000-00008. View

12.

Ludwig M, Weidner W . [Diagnosis and therapy of prostatitis syndrome]. Urologe A. 2000; 39(4):371-82. DOI: 10.1007/s001200050374. View

13.

Barbalias G, Nikiforidis G, Liatsikos E . Alpha-blockers for the treatment of chronic prostatitis in combination with antibiotics. J Urol. 1998; 159(3):883-7. View

14.

Persson B, Ronquist G, Ekblom M . Ameliorative effect of allopurinol on nonbacterial prostatitis: a parallel double-blind controlled study. J Urol. 1996; 155(3):961-4. View

15.

Yang C, Lee J, Kromm B, Ciol M, Berger R . Pain sensitization in male chronic pelvic pain syndrome: why are symptoms so difficult to treat?. J Urol. 2003; 170(3):823-6; discussion 826-7. DOI: 10.1097/01.ju.0000082710.47402.03. View

16.

Riley D, Krieger J . X Chromosomal short tandem repeat polymorphisms near the phosphoglycerate kinase gene in men with chronic prostatitis. Biochim Biophys Acta. 2002; 1586(1):99-107. DOI: 10.1016/s0925-4439(01)00090-4. View

17.

Mehik A, Hellstrom P, Sarpola A, Lukkarinen O, Jarvelin M . Fears, sexual disturbances and personality features in men with prostatitis: a population-based cross-sectional study in Finland. BJU Int. 2001; 88(1):35-8. DOI: 10.1046/j.1464-410x.2001.02259.x. View

18.

Mehik A, Hellstrom P, Nickel J, Kilponen A, Leskinen M, Sarpola A . The chronic prostatitis-chronic pelvic pain syndrome can be characterized by prostatic tissue pressure measurements. J Urol. 2001; 167(1):137-40. View

19.

de la Rosette J, Ruijgrok M, Jeuken J, Karthaus H, Debruyne F . Personality variables involved in chronic prostatitis. Urology. 1993; 42(6):654-62. DOI: 10.1016/0090-4295(93)90529-j. View

20.

Moul J . Prostatitis. Sorting out the different causes. Postgrad Med. 1993; 94(5):191-4. View