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Primary prostate pain syndrome
The anatomy of the normal prostate. Note the anatomical appearance of the prostate and surrounding tissues is normal in primary prostate pain syndrome (PPPS)
Joe Brock, Research Illustration, Francis Crick Institute / Science Photo Library; used with permission
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Primary prostate pain syndrome
EAU Classification of Chronic Pelvic Pain Syndromes
Adapted from Engeler DS et al. EAU guidelines on chronic pelvic pain. Edition 2023. European association of Urology. Nijmegen, The Netherlands (https://uroweb.org/guidelines/chronic-pelvic-pain); used with permission
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Primary prostate pain syndrome
Cystoscopy in a 65-year old patient with bladder pain syndrome type 3C - corresponding to "classical'' interstitial cystitis - larger mucosal haemorrhages (Hunner's lesions) seen after diagnostic cystoscopic hydrodistension
From the personal collection of Serge P. Marinkovic, MD; used with permission
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Primary prostate pain syndrome
Diagnostic algorithm for diagnosing chronic pelvic pain; *Specific disease-associated pelvic pain caused by bacterial infection, cancer, drug-induced pathology, primary anatomical or functional disease of the pelvic organs, and neurogenic disease must be ruled out
Adapted from Engeler DS et al. EAU guidelines on chronic pelvic pain. Edition 2023. European association of Urology. Nijmegen, The Netherlands (https://uroweb.org/guidelines/chronic-pelvic-pain); used with permission
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Primary prostate pain syndrome
Phenotyping of pelvic pain using the UPOINT classification
Adapted from Engeler DS et al. EAU guidelines on chronic pelvic pain. Edition 2023. European association of Urology. Nijmegen, The Netherlands (https://uroweb.org/guidelines/chronic-pelvic-pain); used with permission
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