
Chronic Pelvic Pain Syndrome is confusing term that refers to pain in the pelvic area lasting in spite of conventional treatment. Patients with CPPS may experience pain in the abdomen, hip, thighs, buttocks, vagina, vulva, rectum, penis and groin. According to the International Pelvic Pain Society (IPPS), this condition is responsible for 10% of womens visits to gynecologist and 14% mens visits to the urologists. At this time there is no routine diagnostic procedure for CPPS. Diagnosis of CPPS is based on exclusion of more severe relative diseases and symptom logy. Regrettably, the cause of CPPS remains unclear at present.
CPPS is assumed to be either a myofascial pain syndrome, which affects the interplay between striated, and smooth muscles or a complex neurological dysfunction affecting autonomic nervous system. Patients affected by CPPS frequently present with high stress and emotional component of pain. At present there is no standardized treatment available for this syndrome. Medication management has brought more side effects then relief.
Psychotherapy, trigger-point massages and biofeedback are only of limited value. At this time the combination of all described methods has been a management of choice. There is no clinical study yet available proving that any of these methods are effective.
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