CHRONIC PELVIC PAIN AND SEXUAL FUNCTIONS AS SEEN BY UROLOGIST AND ANATOMIST
Authors:
doc. MUDr. Michael Urban 1,2; MUDr. Jiří Heráček 1,2; MUDr. Václav Báča 3
Authors place of work:
Urologická klinika 3. LF UK a FN Královské Vinohrady Šrobárova 50, 0 4 Praha
urbanm@fnkv. cz
1; Androgeos - soukromé urologické a andrologické centrum, Centrum pro léčbu chronické pánevní bolesti, Praha
2; Anatomický ústav 3. LF UK, Centrum pro integrované studium pánve, Praha
3
Published in the journal:
Urol List 2007; 5(2): 28-37
Summary
The treatment of pelvic pains is a complex issue due to low success rate in determining their pathophysiological causes. These difficulties are most often classified as interstitial cystitis (IC) or chronic prostatitis (CP). In addition to painful symptoms in pelvic organs, also present are functional difficulties enhanced by psychological strain which eventually assumes a dominant role as a consequence of prolonged and not always efficient therapy. Sexual functions of men irrespective of age can be easily affected. The combination of chronic pain and psychical alteration is a nurturing ground for sexual dysfunction in general. Based on a joint urologist and anatomist view and detailed insight into the nervous supply of the pelvic organ area, the authors have tried to identify the hypothetical links explaining the causes of sexual dysfunction in men.
Key words:
chronic pelvic pain, chronic prostatitis, sexual dysfunction, nervus pudendus
Zdroje
1. Abrams P, Cardozo L, Fall M et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Subcommittee of the International Continence Society. Am J Obstet Gynecol 2002; 187:116-26.
2. Merskey H, Bogduk N. Classification of Chronic Pain. Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms. Seattle: IASP Press 2002.
3. Krieger JN, Nyberg L Jr, Nickel JC. NIH consensus definition and classification of prostatitis. JAMA 1999; 282: 236-237.
4. de la Rosette JJ, Hubregtse MR, Meuleman EJ et al. Diagnosis and treatment of 409 patients with prostatitis syndromes. Urology 1993; 41: 301-307.
5. Meares EM jr. Prostatitis. Med Clin North Am 1991; 75: 405-24.
6. Brunner H, Weidner W, Schiefer HG. Studies on the role of Ureaplasma urealyticum and Mycoplasma hominis in prostatitis. J Infect Dis 1983; 147: 807-813.
7. Nickel JC, Weidner W. Chronic prostatitis: Current Concepts and antimicrobial therapy. Infect Urol 2000; 13: 22.
8. Nickel JC. Prostatitis: myths and realities. Urology 1998; 51: 362-366.
9. Barbalias GA, Meares EM Jr, Sant GR. Prostatodynia: clinical and urodynamic characteristics. J Urol 1983; 130: 514-517.
10. Kaplan SA, Te AE, Jacobs BZ. Urodynamic evidence of vesical neck obstruction in men with misdiagnosed chronic nonbacterial prostatitis and the therapeutic role of endoscopic incision of the bladder neck. J Urol 1994; 152: 2063-2065.
11. Murnaghan GF, Millard RJ. Urodynamic evaluation of bladder neck obstruction in chronic prostatitis. Br J Urol 1984; 56: 713-716.
12. Blacklock NJ. Anatomical factors in prostatitis. Br J Urol 1974; 46: 47-54.
13. Kirby RS, Lowe D, Bultitude MI, Shuttleworth KE. Intra-prostatic urinary reflux: an aetiological factor in abacterial prostatitis. Br J Urol 1982; 54: 729-731.
14. Doble A, Walker MM, Harris JR et al. Intraprostatic antibody deposition in chronic abacterial prostatitis. Br J Urol 1990; 65: 598-605.
15. Shortliffe LM, Wehner N. The characterization of bacterial and nonbacterial prostatitis by prostatic immunoglobulins. Medicine 1986; 65: 399-414.
16. Andersen JT. Treatment of prostatodynia. In: Nickel JC (ed). Textbook of Prostatitis. London: ISIS 1999.
17. Egan KJ, Krieger JL. Chronic abacterial prostatitis a urological chronic pain syndrome? Pain 1997; 69(3): 213-218.
18. Williams PL et al. Gray´s Anatomy. 38. ed. Edinburgh: Churchill-Livingstone 1999: 1848-1861.
19. Snell RS. Clinical Anatomy for Medical Students. 7. ed. Philadelphia: Lippincott Williams – Wilkins 1995: 436-437.
20. Moore KL, Dalley AF. Clinically Oriented Anatomy. 5. ed. Philadelphia: Lippincott Williams–Wilkins 2006: 459.
21. Pansky B. Review of Gross Anatomy. 6. ed. New York: McGraw-Hill 1996: 488-489.
22. Walsh PC, Lepor H, Eggleston JC. Radical prostatectomy with preservation of sexual function: anatomical and pathological considerations. Prostate 1983; 34: 473.
23. Lue TF, Zeineh SJ, Schmidt RA, Tanagho EA. Neuroanatomy of Penile Erection: Its Relevance to Iatrogenic Impotence. J Urol 1984; 131: 273-280.
24. Barry MJ, Fowler FJ Jr, O'Leary MP et al. The American Urological Association symptom index for benign prostatic hyperplasia. The Measurement Committee of the American Urological Association. J Urol 1992; 148:1549-1557.
25. Nickel JC. Effective office management of chronic prostatitis. Urol Clin North Am 1998; 25: 677-684.
26. Wenninger K, Heiman JR, Rothman I et al. Sickness impact of chronic nonbacterial prostatitis and its correlates. J Urol 1996; 155: 965-968.
27. Mc Naughton-Collins M, O'Leary MP, Litwin MS. Quality of life is impaired in men with chronic prostatitis results from the NIH Cohort study (abstract). J Urol 2000; 163 (suppl): 23.
28. Mebust WK, Bosch R, Donovan J et al. Symptom evaluation, quality of life and sexuality. In: Cockett ATK, Khoury S, Aso Y et al (eds). Proceedings, The 2nd consultation on benign prostatic hyperplasia (BPH). Paris: Scientific Communication International Ltd. 1993: 129.
29. Meares EMJ, Minich W. Prostatodynia: clinical findings and rationale for treatment. In: Weidner W, Brunner H, Krause W, Rothauge CJ (eds). Therapy of Prostatitis. München: Zuckschwerdt Verlag 1986: 207.
30. Nickel JC. The Pre and Post Massage Test (PPMT): a simple screen for prostatitis. Tech Urol 1997; 3: 38-43.
31. Nickel JC. Prostatitis: evolving management strategies. Urol Clin North Am 1999; 26: 737-751.
32. de la Rosette JJ, Karthaus HF, van Kerrebroeck PE et al. Research in 'prostatitis syndromes': the use of alfuzosin (a new alpha 1-receptor-blocking agent) in patients mainly presenting with micturition complaints of an irritative nature and confirmed urodynamic abnormalities. Eur Urol 1992; 22: 222-227.
33. Neal DE Jr, Moon TD. Use of terazosin in prostatodynia and validation of a symptom score questionnaire. Urology 1994; 43: 460-465.
34. Drach GW. Trimethoprim sulfamethoxazole therapy of chronic bacterial prostatitis. J Urol 1974; 111: 637-639.
35. Meares EM. Long-term therapy of chronic bacterial prostatitis with trimethoprim- sulfamethoxazole. Can Med Assoc J 1975; 112: 22-25.
36. Schaeffer AJ, Darras FS. The efficacy of norfloxacin in the treatment of chronic bacterial prostatitis refractory to trimethoprimsulfamethoxazole and/or carbenicillin. J Urol 1990; 144: 690-693.
37. Childs SJ. Ciprofloxacin in treatment of chronic bacterial prostatitis. Urology 1990; 35: 15-18.
38. Canale D, Scaricabarozzi I, Giorgi P et al. Use of a novel non-steroidal anti-inflammatory drug, nimesulide, in the treatment of abacterial prostatovesiculitis. Andrologia 1993; 25: 163-166.
39. Golio G. The use of finasteride in the treatment to chronic nonbacterial prostatitis. Abstacts of the 49th Annual Meeting of the Northeastern Section of the American Urological Association. Phoenix: AZ 1997: 128.
40. Holm M, Meyhoff HH. Chronic prostatic pain. A new treatment option with finasteride? Scand J Urol Nephrol 1997; 31: 213-215.
41. Meares EJ. Prostatitis and related disorders. In: Walsh PC, Retik AB, Stamey TA, Vaughan EDJ (eds). Campbell's Urology. Philadelphia: WV Saunders 1992: 807.
42. Buck AC, Rees RW, Ebeling L. Treatment of chronic prostatitis and prostatodynia with pollen extract. Br J Urol 1989; 64: 496-499.
43. Kamihira O, Sahashi M, Yamada S et al. Transrectal hyperthermia for chronic prostatitis. Nippon Hinyokika Gakkai Zasshi 1993; 84: 1095-1098.
44. Choi NG, Soh SH, Yoon TH, Song MH. Clinical experience with transurethral microwave thermotherapy for chronic nonbacterial prostatitis and prostatodynia. J Endourol 1994; 8: 61-64.
45. Barnes RW, Hadley HL, O'Donoghue EP. Transurethral resection of the prostate for chronic bacterial prostatitis. Prostate 1982; 3: 215-219.
46. Robert R, Labat JJ, Bensignor M et al. Decompression and transposition of the pudendal nerve in pudendal neuralgia:A randomized contolled trial and long-term evaluation. Eur Urol 2005; 47: 403-408.
47. Netter FH. Anatomický atlas člověka. 3. vyd. Praha: Galén 2005.
Štítky
Paediatric urologist UrologyČlánok vyšiel v časopise
Urological Journal
2007 Číslo 2
Najčítanejšie v tomto čísle
- CHRONIC PELVIC PAIN AND SEXUAL FUNCTIONS AS SEEN BY UROLOGIST AND ANATOMIST
- Chronic pain in interstitial cystitis
- PATHOPHYSIOLOGY OF PELVIC PAIN
- POSTOPERATIVE PAIN