[Pelvic pain--definitions, diagnosis and therapeutic options].
Depending on the location, bladder, urethral, penile and prostate pain syndromes are distinguished. In addition to the investigation of urine and ejaculate with the aim of detecting an infection, clinical examination, uroflowmetry are employed and, where indicated, imaging techniques to exclude cancer disease. Chronic pelvic pain is a non-cancer-related pain persisting for more than six months. In the absence of an underlying treatable disease, appropriate pain therapy can be initiated with antiphlogistic analgesics, COX 2 inhibitors or opioids. Depending on the clinical presentation, further therapeutic options or such non-drug measures as bladder training, dietetic measures or surgery may be applied in addition.
Bross
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Urologische Universitätsklinik Mannheim gGmbH, Mannheim. stephan.bross@uro.ma.uni-heidelberg.de
Alken
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D000700:Analgesics / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004724:Endoscopy; D005260:Female; D052776:Female Urogenital Diseases / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D052801:Male Urogenital Diseases; D017699:Pelvic Pain / Q000209:etiology* / Q000628:therapy; D014563:Urodynamics / Q000502:physiology
D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal