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EAU Guidelines on Chronic Pelvic Pain


Authors: M. Fall 1;  A. P. Baranowski 2;  S. Elneil 3;  D. Engeler 4;  J. Hughes 5;  E. J. Messelink 6;  F. Oberpenning 7;  A. C. De C. Williams 8
Authors place of work: Department of Urology, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden 1;  Pain Management Centre, The National Hospital for Neurology and Neurosurgery, University College London Hospitals Foundation Trust, London, United Kingdom 2;  Centre for Urogynaecology, The National Hospital for Neurology and Neurosurgery, University College London Hospitals Foundation Trust, London, United Kingdom 3;  Department of Urology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland 4;  Pain Management Unit, The James Cook University Hospital, Middlesborough, United Kingdom 5;  Department of Urology, University Hospital Groningen, Groningen, The Netherlands 6;  Department of Urology, St-Agnes Hospital, Bocholt, Germany 7;  University College London Hospitals Foundation Trust, London, United Kingdom 8
Published in the journal: Urol List 2010; 8(3): 93-106

Summary

Context:
These guidelines were prepared on behalf of the European Association of Urology (EAU) to help urologists assess the evidence-based management of chronic pelvic pain (CPP) and to incorporate the recommendations into their clinical practice.

Objective:
To revise guidelines for the diagnosis, therapy, and follow-up of CPP patients.

Evidence acquisition:
Guidelines were compiled by a working group and based on a systematic review of current literature using the PubMed database, with important papers reviewed for the 2003 EAU guidelines as a background. A panel of experts weighted the references.

Evidence synthesis:
The full text of the guidelines is available through the EAU Central Office and the EAU Web site (www.uroweb.org). This article is a short version of the full guidelines text and summarises the main conclusions from the guidelines on the management of CPP.

Conclusions:
A guidelines text is presented including chapters on chronic prostate pain and bladder pain syndromes, urethral pain, scrotal pain, pelvic pain in gynaecologic practice, neurogenic dysfunctions, the role of the pelvic floor and pudendal nerve, psychological factors, general treatment of CPP, nerve blocks, and neuromodulation. These guidelines have been drawn up to provide support in the management of the large and difficult group of patients suffering from CPP.

Key words:
bladder pain syndrome, chronic pelvic pain, EAU guidelines, interstitial cystitis, prostate pain syndrome, prostatitis


Zdroje

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http://www.uroweb.org/fileadmin/tx_eauguidelines/2009/Full/CPP.pdf. Updated March 2008.

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Paediatric urologist Urology
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