Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Category 3 non-bacterial prostatitisChronic prostatitis/chronic pelvic pain syndrome CP/CPPSLevator ani syndromeProstatodyniaUrogential pain disorders ++ 338.4 Chronic pain syndrome601.1 Chronic prostatitis ++ G89.4 Chronic pain syndromeN41.1 Chronic prostatitisR10.2 Pelvic and perineal painSymptom specific diagnosesN53.12 Painful ejaculationN94.1 DyspareuniaK59.4 Anal spasm ++ As of July 2013, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathologyAssociated or secondary musculoskeletal patterns includePattern: 4C Impaired muscle performance1Pattern 4D: Impaired joint mobility, motor function, muscle performance, and range of motion associated with connective tissue dysfunction1 ++ 564.6 Anal spasm569.42 Anal or rectal pain719.45 Pain in joint, pelvic region and thigh724.7 Disorders of coccyx728.2 Muscular wasting and disuse atrophy, not elsewhere classified728.85 Spasm of muscle728.89 Disorders of muscle, ligament, and fascia729.1 Myalgia and myositis, unspecified729.2 Neuralgia, neuritis, and radiculitis, unspecified729.9 Other and unspecified disorders of soft tissue +++ Description ++ Pelvic pain or regional pelvic pain syndrome (perineal pain, penile pain, testicular pain, suprapubic pain, groin pain) without detectable pathologyNo evidence of infection or inflammation +++ Essentials of Diagnosis ++ Unknown etiologyRule out bacterial prostatitis and other organ pathologySymptoms 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 +++ General Considerations ++ Chronic pain conditionEitiology is unknownDiagnosis is a process of exclusionUrogenital pain disorders frequently affect nearby body areas, especially back, pelvic, hip, and groin regionsPT intervention is often appropriate for associated musculoskeletal impairmentsMay mimic other visceral pain conditions including colon cancer or tumor, irritable bowel, colitis +++ Demographics ++ 2% to 9% of men report prostatitis-like symptomsExact 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 painSymptoms often worsened by prolonged sitting or standing, anxiety, bowel movements, physical activity, or sexual intercoursePain that starts in the afternoon and becomes progressively worse throughout the dayConstellation 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 +++ Signs and Symptoms ++ Perineal pain, penile pain, testicular pain, suprapubic pain, and/or groin painPain during sexual intercourseIrritative voiding secondary to urinary discomfort, frequency, or urgencyIrritable bowel: diarrhea and/or constipationPelvic painBladder pressure and painBurning with urination +++ Functional Implications ++ PainPainful urination, defecation, and sexual activityIncomplete defecation ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.