Clustering of UPOINT Domains and Subdomains in Men with Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Contribution to Symptom Severity

Samplaski, Mary K.; Li, Jianbo; Shoskes, Daniel A.

doi:10.1016/j.juro.2012.07.036

Cited by 46 publications

(26 citation statements)

References 21 publications

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“…Using the UPOINT classification system, 25% of patients felt helpless or hopeless [22]. In contrast to this study, the following studies used the standardized Pain Catastrophizing Scale [23] to measure patients' cognitive style.…”

Section: (1) Pain Catastrophizing Cognitionsmentioning

confidence: 95%

See 1 more Smart Citation

Assessing psychological factors, social aspects and psychiatric co-morbidity associated with Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) in men — A systematic review

Riegel

Bruenahl

Ahyai

et al. 2014

Journal of Psychosomatic Research

109

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Section: (1) Pain Catastrophizing Cognitionsmentioning

confidence: 95%

“…In fact, a recent analysis found that 24% of patients had clinically relevant depression [22]. Furthermore, the degree of depression significantly predicted CP/CPPS symptom severity [43,50] and patients' QoL [50].…”

Section: (I) Depressionmentioning

confidence: 99%

Assessing psychological factors, social aspects and psychiatric co-morbidity associated with Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) in men — A systematic review

Riegel

Bruenahl

Ahyai

et al. 2014

Journal of Psychosomatic Research

109

View full text Add to dashboard Cite

“…Painful filling is described as pain that worsens with the degree of bladder filling. The pain may be relieved at least partially by urination [26][27][28]. Painful urgency is described as the urge to urinate due mainly to pain, pressure, or discomfort, but not to fear of incontinence [26].…”

Section: Bladder-specific Features and Diagnosis Of Bps/icmentioning

confidence: 99%

“…Therefore, it would be more prudent to include bladder-specific features in addition to prostate-specific findings in the criteria for organ-specific domain when performing UPOINT-based evaluations in men suspected of having chronic pelvic pain. Samplaski et al [27] characterized patients diagnosed with CP/CPPS using UPOINT domains and subdomains, and the organ-specific domain was subdivided into bladder (organ specific-bladder) and prostate (organ specific-prostate). The organ specific-bladder domain was positive in 33% of their patients.…”

Section: Prudent Approach To Chronic Pelvic Pain In Malesmentioning

confidence: 99%

Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Male Bladder Pain Syndrome/Interstitial Cystitis: How Are They Related?

Lee

2017

Urogenit Tract Infect

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To date, the heterogeneous pathophysiology of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and bladder pain syndrome/interstitial cystitis (BPS/IC) has not been fully elucidated. Thus, it is difficult to make a full comparison between CP/CPPS and male BPS/IC. Controversy and confusion surrounding the terminologies and classifications of CP/CPPS and BPS/IC complicates the issue. CP/CPPS and male BPS/IC are not mutually exclusive conditions, in that they have similarities in their pathogenesis and clinical presentation. Based on the working definitions of these terms, it would be correct to say that male BPS/IC is subsumed by CP/CPPS, and that male BPS/IC can be regarded as CP/CPPS with clear bladder-specific features. Although the term CP/CPPS may be inappropriate, especially since "CP" may be misleading, the perspective that CP/CPPS and male BPS/IC are male urological chronic pain syndromes could enhance the understanding of the relationship between the two. The European Association of Urology classification for chronic pelvic pain is systematic and corresponds well with our knowledge of chronic pain. Therefore, this classification might be the solution to the problems associated with the existing terminologies and taxonomy of CP/CPPS and BPS/IC. In the management of urological chronic pelvic pain in men, clinical phenotyping systems (the UPOINT or UPOINTs system) profile patients and indicate how tailored treatment could be achieved as individualized, multimodal therapeutic regimens. It would be prudent to include bladder-specific features, such as painful filling or painful urgency, in the criteria for the organ-specific domain of the UPOINT(s) system.

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“…Lately, the UPOINT system has been used to look at gathering of symptoms, to try to distinguish a common cause for some groups of patients. Two clusters have demonstrated the analysis of men with CP/CPPS using the UPOINT system, a 'systemic group' of infection, neurologic, and psychosocial and a 'pelvic' group with the domains of organ specific, urinary, and tenderness [8].…”

Section: Introductionmentioning

confidence: 99%

Recent trend of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) management

Lee

2017

Hanyang Med Rev

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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 monotherapy for CP/CPPS. The 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, the patient should be evaluated individually to assess the nature of symptoms. To evaluate patients with chronic urologic pelvic pain, a six-point clinical phenotyping system has been 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, the concept of UPOINT needs randomization, placebo or sham control studies to show verified treatment.

show abstract

Clustering of UPOINT Domains and Subdomains in Men with Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Contribution to Symptom Severity

Cited by 46 publications

References 21 publications

Assessing psychological factors, social aspects and psychiatric co-morbidity associated with Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) in men — A systematic review

Assessing psychological factors, social aspects and psychiatric co-morbidity associated with Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) in men — A systematic review

Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Male Bladder Pain Syndrome/Interstitial Cystitis: How Are They Related?

Recent trend of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) management

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