Robert J. Evans, MD, FACS, discusses the complexities of female chronic pelvic pain. Over the course of his presentation, Dr. Evans explores:
Challenges in Diagnosis
Multimodal Treatment Approaches
Medication Strategies
Importance of Physical Therapy
Patient Empowerment
Christopher P. Smith, MD, MBA, MSS, discusses the diagnosis and management of chronic prostatitis and pelvic pain syndrome (CP/CPPS). He begins by presenting an algorithm for diagnosis, noting that CP/CPPS is non-specific and often a diagnosis of exclusion with unclear causes.
Dr. Smith presents the UPONT classification system for CP/CPPS as a tool to categorize and diagnose CP/CPPS based on the individual patient’s symptoms. He notes that most CP/CPPS patients have symptoms of at least two domains of the UPONT classification system.
Dr. Smith discusses the role of patient history, labs, and imagining in CP/CPPS diagnosis. He presents tools which can be used by both patient and physician to find a more specific diagnosis.
Dr. Smith concludes by addressing symptom relief and management of CP/CPPS. He reviews the benefits and drawbacks of interventions ranging from dietary and behavioral changes to low-intensity shockwave therapy.
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