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Tailored Treatment is the Best Approach to Pelvic Pain, Researchers Say

Magistro G, Wagenlehner FM, Grabe M, Weidner W, Stief CG, Nickel JC. Contemporary Management of Chronic Prostatitis/Chronic Pelvic Pain Syndrome. Eur Urol. 2015 Sep 24. pii: S0302-2838(15)00857-X. doi: 10.1016/j.eururo.2015.08.061. [Epub ahead of print]

The purpose of this educational article is to outline the current state-of-the-art diagnosis and treatment of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) based on a comprehensive review of randomized, controlled trials and expert recommendations for management. The authors of this article found that no single treatment is universally effective, and thus, the best approach to CP/CPPS is a tailored treatment strategy that takes into account the characteristics of the individual patient being treated. The 28 randomized trials that the authors evaluated failed to reveal a clear therapeutic benefit for any one treatment; the treatments under study spanned a wide range of modalities, including antibiotics, immune-modulating drugs, hormonal agents, neuromodulatory drugs, and physical treatment options, among many others.