title: A subtype based analysis of urological chronic pelvic pain syndrome in men.
abstract: OBJECTIVE
  The current conceptualization of urological chronic pelvic pain syndrome in men recognizes a wide variety of pain, psychosocial, sexual and urological symptoms and markers that may contribute to decreased quality of life. Unfortunately, this syndrome is difficult to clearly define and treat due to heterogeneous symptom profiles. We systematically describe these heterogeneous symptoms and investigated whether they could be subtyped into distinct syndromes.
  
  
  METHODS
  A total of 171 men diagnosed with urological chronic pelvic pain syndrome completed validated questionnaires, a structured genital pain interview, digital pain threshold testing and urological assessment. Pain interview results are systematically presented as descriptive information. We used k-means cluster analysis to define subtypes.
  
  
  RESULTS
  Seven homogenous, distinct clusters were defined, each with a remarkably different symptom presentation. These clusters were described and related to previous hypotheses of urological chronic pelvic pain syndrome etiology.
  
  
  CONCLUSIONS
  These clusters may represent distinct subtypes of urological chronic pelvic pain syndrome that can be used to guide treatment more effectively. Defining subtypes may also improve our understanding of the underlying mechanisms of urological chronic pelvic pain syndrome.
authors: Department of Psychology, McGill University, Montreal, Quebec, Canada. seth.davis@mail.mcgill.ca
authors: Seth N P
authors: SN
authors: Davis
authors: Yitzchak M
authors: YM
authors: Binik
authors: Rhonda
authors: R
authors: Amsel
authors: Serge
authors: S
authors: Carrier
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D059350:Chronic Pain; D016000:Cluster Analysis; D003430:Cross-Sectional Studies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017288:Pain Threshold; D017699:Pelvic Pain / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D011472:Prostatitis / Q000150:complications* / Q000175:diagnosis; D011584:Psychology; D011788:Quality of Life; D018570:Risk Assessment; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D013577:Syndrome; D014570:Urologic Diseases / Q000150:complications* / Q000175:diagnosis