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Current Bladder Dysfunction Reports

, Volume 10, Issue 1, pp 81–86 | Cite as

A New Approach to Urologic Chronic Pelvic Pain Syndromes: Applying Oncologic Principles to “Benign” Conditions

  • Christopher K. PayneEmail author
Pelvic Pain (C Payne and J Potts, Section Editors)
  • 116 Downloads
Part of the following topical collections:
  1. Topical Collection on Pelvic Pain

Abstract

The urologic chronic pelvic pain syndromes—interstitial cystitis/bladder pain syndrome and chronic prostatitis/chronic pelvic pain syndrome—continue to be both a major cause of morbidity in patients and huge challenge to clinicians. This is largely because patients with common symptoms but differing underlying pain mechanisms are grouped together. In addition, frustration with poor outcomes leads to cynicism and negativism producing an important nocebo effect, further compromising patient care. A new approach is needed. Utilizing principles borrowed from our oncologic colleagues to UCPPS patients can improve all aspects of care:
  • Diagnosis of clinically relevant phenotypes

  • Objectively staging the severity of disease

  • Using sound treatment principles to achieve remission

  • Careful follow-up using objective and subjective measures to fully understand response to therapy

When these principles are applied methodically, clinical success becomes common. When success becomes common, the concepts of complete remission and cure can be introduced.

Keywords

Urologic chronic pelvic pain syndrome Interstitial cystitis/bladder pain syndrome Chronic prostatitis/chronic pelvic pain syndrome Phenotyping Nocebo Treatment Remission 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Christopher Payne reports that he receives personal fees from and serves on the Medical Advisory Board for both Allergan and Astellas. He also declares that his wife is a consultant for New Pelvic Pain Technologies.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Vista Urology & Pelvic Pain PartnersSan JoseUSA

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