- Category 3 non-bacterial prostatitis
- Chronic prostatitis/chronic pelvic pain syndrome CP/CPPS
- Levator ani syndrome
- Urogential pain disorders
- 338.4 Chronic pain syndrome
- 601.1 Chronic prostatitis
- G89.4 Chronic pain syndrome
- N41.1 Chronic prostatitis
- R10.2 Pelvic and perineal pain
- Symptom specific diagnoses
- N53.12 Painful ejaculation
- N94.1 Dyspareunia
- K59.4 Anal spasm
- As of July 2013, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology
- Associated or secondary musculoskeletal patterns include
- 564.6 Anal spasm
- 569.42 Anal or rectal pain
- 719.45 Pain in joint, pelvic region and thigh
- 724.7 Disorders of coccyx
- 728.2 Muscular wasting and disuse atrophy, not elsewhere classified
- 728.85 Spasm of muscle
- 728.89 Disorders of muscle, ligament, and fascia
- 729.1 Myalgia and myositis, unspecified
- 729.2 Neuralgia, neuritis, and radiculitis, unspecified
- 729.9 Other and unspecified disorders of soft tissue
- Pelvic pain or regional pelvic pain syndrome (perineal pain, penile pain, testicular pain, suprapubic pain, groin pain) without detectable pathology
- No evidence of infection or inflammation
- Unknown etiology
- Rule out bacterial prostatitis and other organ pathology
- Symptoms may be initiated by an acute infection, injury, or inflammation of a pelvic or urogential organ; however, pain persists beyond the duration of the original inciting event or disease
- Chronic pain condition
- Eitiology is unknown
- Diagnosis is a process of exclusion
- Urogenital pain disorders frequently affect nearby body areas, especially back, pelvic, hip, and groin regions
- PT intervention is often appropriate for associated musculoskeletal impairments
- May mimic other visceral pain conditions including colon cancer or tumor, irritable bowel, colitis
- 2% to 9% of men report prostatitis-like symptoms
- Exact prevalence of chronic pelvic pain is not known, estimates vary in the literature from 3.8% to 24%4
- Report of perineal pain, penile pain, testicular pain, suprapubic pain, and/or groin pain
- Symptoms often worsened by prolonged sitting or standing, anxiety, bowel movements, physical activity, or sexual intercourse
- Pain that starts in the afternoon and becomes progressively worse throughout the day
- Constellation of symptoms that include painful ejaculation, low back pain, bowel symptoms of constipation, diarrhea, excessive flatus, painful defecation or a sensation of incomplete evacuation, and urinary symptoms of frequency, urgency, or nocturia
- Perineal pain, penile pain, testicular pain, suprapubic pain, and/or groin pain
- Pain during sexual intercourse
- Irritative voiding secondary to urinary discomfort, frequency, or urgency
- Irritable bowel: diarrhea and/or constipation
- Pelvic pain
- Bladder pressure and pain
- Burning with urination
- Painful urination, defecation, and sexual activity
- Incomplete defecation or urination
- Urinary and fecal urgency ...
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