Evaluation and treatment of male pelvic pain syndromes and sexual dysfunction
Urologic Surgical Procedures
Male pelvic pain syndrome (MPPS) is marked by chronic pain in the genitoanal and lower abdominal areas, often involving chronic prostatitis/chronic pelvic pain syndrome, pain upon ejaculation, erectile dysfunction, and painful bladder syndrome/interstitial cystitis. Studies of chronic pain patients have shown that the objective assessment of progress and resolution of symptoms rely on evaluation focused on complete physical examination and history taking with standardized and validated questionnaires. Because MPPS and sexual dysfunction are not life-threatening conditions, bother score of symptoms, global impairment of function, and underlying diagnosis should direct therapy. Furthermore, treatment should be multimodal, escalating, and aimed at decreasing recurrence rates. This article reviews the evaluation and treatment of MPPS and sexual dysfunction in men. Copyright © 2008 by Current Medicine Group LLC.
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