Potts Jeannette M
2998 South Bascom Avenue, Suite 100, San Jose, CA 94125, USA.
Curr Rheumatol Rev. 2016;12(1):27-39. doi: 10.2174/1573397112666151231110656.
Chronic pelvic pain in men has often been misdiagnosed as prostatitis. After excluding serious or acute urological, neurological or colorectal conditions, it is essential to approach these patients with a much more comprehensive criteria. Thoughtful interview and methodical physical examination can very often reveal pelvic floor muscle dysfunction, Myofascial pain syndromes, Functional Somatic Syndrome/Central Sensitization Syndromes and/or psychosocial distress. One must be aware that many of these syndromes frequently overlap. Acknowledgement of these conditions and validation of both their physical and psychological distress is paramount to creating trust and confidence in the patient. These are the cornerstones for empowerment and self-care required in the management of chronic pelvic pain.
男性慢性盆腔疼痛常常被误诊为前列腺炎。在排除严重或急性泌尿系统、神经系统或结直肠疾病后，必须采用更全面的标准来诊治这些患者。细致的问诊和系统的体格检查常常能够揭示盆底肌肉功能障碍、肌筋膜疼痛综合征、功能性躯体综合征/中枢敏化综合征和/或心理社会困扰。必须认识到，这些综合征中有许多经常相互重叠。认识到这些情况并确认其身体和心理困扰对于建立患者的信任至关重要。这些是慢性盆腔疼痛管理中实现自我赋能和自我护理的基石。
