Similarities between interstitial cystitis and male chronic pelvic pain syndrome.
Few clinical conditions encountered by the urologist cause more patient and clinician frustration than interstitial cystitis and male chronic pelvic pain syndrome, also know as nonbacterial prostatitis. This frustration is fueled by the chronicity of often disabling urogenital (and often associated systemic) symptoms coupled with delayed care, misdiagnosis, and suboptimal clinical responses. Basic research and therapeutic trials for these syndromes have historically taken two separate paths. However, mounting evidence suggests that significant overlap may exist between them in epidemiology, pathophysiology, and even therapy. This discussion reviews some of the common features of these clinical problems and makes a case that they might in fact represent different manifestations of the same disease process.
Moldwin
Robert M
RM
Department of Urology, Long Island Jewish Medical Center, 170-5 76th Avenue, New Hyde Park, NY 11040, USA. rmoldwin@aol.com
D015551:Autoimmunity; D002908:Chronic Disease; D018856:Cystitis, Interstitial / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007239:Infections / Q000150:complications; D008297:Male; D008407:Mast Cells / Q000378:metabolism; D020078:Neurogenic Inflammation / Q000150:complications; D017699:Pelvic Pain / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology*; D011788:Quality of Life; D013577:Syndrome; D014481:United States / Q000453:epidemiology; D001743:Urinary Bladder / Q000503:physiopathology; D019459:Urothelium / Q000503:physiopathology