10.5680/lhuii000013
Treatment of chronic prostatitis/chronic pelvic pain syndrome – UPOINT
Shoskes, Aaron C.
Aaron C.
Shoskes
Des Moines University Medical College of Ostheopathic Medicine, Des Moines, United States
Tran-Nguyen, Dominic
Dominic
Tran-Nguyen
Des Moines University, Des Moines, United States
Shoskes, Daniel
Daniel
Shoskes
Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, United States
GMS
2018
Book chapter
610 Medical sciences; Medicine
Urology
2018-02-01
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common condition, however many common therapies used in practice fail to show benefit when subjected to large randomized controlled trials. This discrepancy may be because CP/CPPS is a heterogeneous syndrome rather than one specific disease, which can explain the prior failure of any one therapy for all patients. In order to direct appropriate therapy, a six-point clinical phenotyping system was developed to evaluate patients with CP/CPPS. The clinical domains included are urinary symptoms, psychosocial dysfunction, organ-specific findings, infection, neurological/systemic complaints, and tenderness of muscles, producing the acronym UPOINT. Patients are diagnosed clinically for each domain and are given appropriate multimodal therapy for each positive domain. This approach is simple in theory and practice, and has proven effective in our hands for patients even after many years of failed therapies.
Chapter of Living Handbook Urogenital Infections and Inflammations
en
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