Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Int J Urol. 2023 May;30(5):431-436. doi: 10.1111/iju.15149. Epub 2023 Feb 14.
Prostatitis is classified into four categories according to the National Institutes of Health Consensus Classification. The largest category, Category III chronic prostatitis and chronic pelvic pain syndrome (CP/CPPS), has a wide range of symptoms and is difficult to diagnose because diagnosis is based on exclusion. Although many treatment modalities, including both pharmacological and non-pharmacological treatments, have been tried, definitive treatment methods have not yet been established, and many urologists struggle with the daily treatment of these conditions. The reasons for the failure of treatment are not only the wide variety of symptoms, but also the wide variety of causes. Therefore, the UPOINTS system is widely used, in which treatment methods are divided or combined according to symptoms and causes. This article summarizes the reports on treatment and reviews treatment findings for CP/CPPS in accordance with the UPOINTS system.
前列腺炎根据美国国立卫生研究院共识分类法分为四类。最大的类别，即 III 型慢性前列腺炎和慢性骨盆疼痛综合征（CP/CPPS），具有广泛的症状，并且由于诊断基于排除法，因此难以诊断。尽管已经尝试了许多治疗方法，包括药理学和非药理学治疗，但还没有确定的治疗方法，许多泌尿科医生在日常治疗这些疾病时都感到困难。治疗失败的原因不仅是症状多种多样，还有病因多种多样。因此，UPOINTS 系统被广泛应用，根据症状和病因对治疗方法进行划分或组合。本文总结了关于 CP/CPPS 的治疗报告，并根据 UPOINTS 系统综述了治疗结果。
