Differential approach to symptomatic treatment of micturition disorders and sexual dysfunction in patients with chronic pelvic pain syndrome

Introduction. The issue of choosing a proper method of treatment and diagnostics for chronic abacterial prostatitis / chronic pelvic pain syndrome (CPPS) is a topic for extensive scientific discussion. Etiology of this condition is insufficiently studied, and guidelines on its treatment are controversial. Moreover, patients with CPPS and their partners experience negative impact of pain on sexual and interpersonal relations, sexual activity, satisfaction and quality of life. Materials and methods. Our study was aimed to improve outcomes of treatment and quality of life of men with CPPS and associated sexual dys function by developing effective algorithms of diagnostics and treatment. This study included 134 patients who met the CPPS criteria (NIH category IIIB). All patients underwent standard evaluation, which included IPSS, QoL, NIH-CPSI, IIEF and ICF questionnaires, visual analog scale for pain (VAS); uroflowmetry with postvoid residual volume measurement (twice); complete urodynamic investigation (CUDI), neurophysiological diagnostics (pelvic floor needle electromyography with concentric electrodes, measurement of penile dorsal nerve conduction velocity and latent period of bulbocavernous reflex)...