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Chronic prostatitis (chronic pelvic pain syndrome in men)

Cystoscopy in a 65-year old patient with bladder pain syndrome type 3C - corresponding to "classical'' interstitial cystitis - larger mucosal hemorrhages (Hunner's lesions) seen after diagnostic cystoscopic hydrodistension

From the personal collection of Serge P. Marinkovic, MD; used with permission

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Chronic prostatitis (chronic pelvic pain syndrome in men)

​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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Chronic prostatitis (chronic pelvic pain syndrome in men)

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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Chronic prostatitis (chronic pelvic pain syndrome in men)

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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Chronic prostatitis (chronic pelvic pain syndrome in men)

The anatomy of the normal prostate. Note the anatomical appearance of the prostate and surrounding tissues is normal in chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)

Joe Brock, Research Illustration, Francis Crick Institute / Science Photo Library; used with permission

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