Magistro G, Stief C G, Wagenlehner F M E
Urologische Klinik und Poliklinik, Klinikum der Universität München, Ludwig-Maximilians-Universität München, Marchioninistraße 15, 81377, München, Deutschland.
Klinik und Poliklinik für Urologie, Kinderurologie und Andrologie, Justus-Liebig-Universität Gießen, Gießen, Deutschland.
Urologe A. 2020 Jun;59(6):739-748. doi: 10.1007/s00120-020-01226-5.
Chronic prostatitis (CP, or chronic pelvic pain syndrome, CPPS) is defined as chronic pain or discomfort in the pelvic region for at least 3 of the past 6 months, often accompanied by lower urinary tract symptoms, psychosocial impairments and sexual dysfunction. Currently, no biomarkers or clinical test procedures for a definitive diagnosis are available. The main objectives for the diagnostic assessment are to exclude differential diagnoses of pelvic pain and to determine the individual symptom profile of the patient. The UPOINTS classification identifies the individual clinical profile of the patient, provides guidance for the necessary diagnostic steps and is the foundation for a tailored multimodal, symptom-oriented and personalized treatment concept. Regular follow-up controls are needed to monitor the treatment response with the option to modify if necessary.
慢性前列腺炎(CP,或慢性盆腔疼痛综合征,CPPS)定义为在过去6个月中至少有3个月出现盆腔区域的慢性疼痛或不适,常伴有下尿路症状、心理社会功能障碍和性功能障碍。目前,尚无用于明确诊断的生物标志物或临床检测程序。诊断评估的主要目的是排除盆腔疼痛的鉴别诊断,并确定患者的个体症状特征。UPOINTS分类可识别患者的个体临床特征,为必要的诊断步骤提供指导,是定制的多模式、以症状为导向的个性化治疗理念的基础。需要定期进行随访控制,以监测治疗反应,并在必要时进行调整。