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Korean J Urol Oncol > Volume 12(1); 2014 > Article
The Korean Journal of Urological Oncology 2014;12(1): 23-28.
만성 전립선염/만성 골반통증 증후군 치료법의 최신 경향
김규식, 이승욱
한양대학교 의과대학 비뇨기과학교실
Manegement of Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS)
Kyu Shik Kim , Seung Wook Lee
Department of Urology, Hanyang University College of Medicine, Seoul, Korea
Published online: April 30, 2014.
ABSTRACT
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common condition; however, many of the traditional therapies like monotherapy used in clinical practice fail to show efficacy. There is no one particular treatment to be recommended as a mono-therapy for CP/CPPS. New concept of treatment which is `UPOINT' is introduced. The major barrier in treating men with CP/CPPS is the heterogenous nature of this syndrome. In order to treat appropriately patient should be evaluated individually to assess the nature of symptoms. To evaluate patients chronic urologic pelvic pain, six-point clinical phenotyping system is developed. The clinical domains are urinary symptoms, psychosocial dysfunction, organ-specific findings, infection, neurologic/systemic, and tenderness of muscles, which produces the acronym UPOINT. This clinical phenotyping system may provide a useful and clinically relevant framework for multimodal therapy for the treatment of CP/CPPS. However, concept of UPOINT needs randomization, placebo or sham control studies to show verified treatment. (Korean J Urol Oncol 2014;12:23-28)
Key Words: Prostatitis; Chronic Prostatitis with Chronic Pelvic Pain Syndrome
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