JUSTUS- LIEBIG UNIVERSITÄT GIESSEN Klinik und Poliklinik für Urologie und Kinderurologie Klinik und Poliklinik für Urologie und Kinderurologie Universitätsklinikum Gießen und Marburg GmbH - Standort Gießen - Justus-Liebig-Universität Gießen (Direktor: Prof. Dr. W. Weidner) The role of inflammatory response and pain pathways in prostatitis FME Wagenlehner
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JUSTUS- LIEBIGUNIVERSITÄTGIESSEN
Klinik und Poliklinik für Urologie und Kinderurologie
Klinik und Poliklinik für Urologie und KinderurologieUniversitätsklinikum Gießen und Marburg GmbH
- Standort Gießen -Justus-Liebig-Universität Gießen(Direktor: Prof. Dr. W. Weidner)
The role of inflammatory response andpain pathways in prostatitis
FME Wagenlehner
1. Acute bacterial Prostatitis
2. Chronic bacterial Prostatitis
3. Chronic Pelvic Pain Syndrom (CPPS)
3a. inflammatory
3b. non-inflammatory
4. Asymptomatic Prostatitis
NIH-Classification of the Prostatitis syndrome
National Institutes of Health: Chronic Prostatitis Workshop, Bethesda, Maryland, USA, 7.-8. Dez. 1995
1. Acute bacterial Prostatitis ∼ 0,1%
2. Chronic bacterial Prostatitis ∼ 1%
3. Chronic Pelvic Pain Syndrom (CPPS) ∼ 10%
3a. Inflammatory ∼ 2%
3b. non-inflammatory ∼ 8%
4. Asymptomatic Prostatitis ∼ 90%
NIH-Classification of the Prostatitis syndrome
National Institutes of Health: Chronic Prostatitis Workshop, Bethesda, Maryland, USA, 7.-8. Dez. 1995
1. Acute bacterial Prostatitis ∼ 0,1%
2. Chronic bacterial Prostatitis ∼ 1%
3. Chronic Pelvic Pain Syndrom (CPPS) ∼ 10%
3a. inflammatory ∼ 2%
3b. non-inflammatory ∼ 8%
4. Asymptomatic Prostatitis ∼ 90%
NIH-Classification of the Prostatitis syndrome
National Institutes of Health: Chronic Prostatitis Workshop, Bethesda, Maryland, USA, 7.-8. Dez. 1995
1. Acute bacterial Prostatitis ∼ 0,1%
2. Chronic bacterial Prostatitis ∼ 1%
3. Chronic Pelvic Pain Syndrom (CPPS) ∼ 10%
3a. inflammatory ∼ 2%
3b. non-inflammatory ∼ 8%
4. Asymptomatic Prostatitis ∼ 90%
NIH-Classification of the Prostatitis syndrome
National Institutes of Health: Chronic Prostatitis Workshop, Bethesda, Maryland, USA, 7.-8. Dez. 1995
CP/CPPS and clinical characteristics
40Sexual
63Abdominal
68Urinary
82Pain
%/ 764Symptoms
Bartoletti R et al., 2007 (Italian Prostatitis Study Group)
Pain
International Association for the study of pain, 1994
Unpleasant sensory and emotionalexperience associated with actual or
potential tissue damage, or described interms of such damage.
Pain
Protective response to tissue injury
Persistent pain is maladaptive
Chronic Pain
International Association for the study of pain, 1994
Pain that persists past the healing phasefollowing an injury.