TY - CHAP T1 - Treatment of chronic prostatitis/chronic pelvic pain syndrome – UPOINT T2 - Urogenital Infections and Inflammations AU - Shoskes, Aaron C. AU - Tran-Nguyen, Dominic AU - Shoskes, Daniel ED - Naber, Kurt G. AD - Daniel Shoskes MD, PhD, Cleveland Clinic, Glickman Urological and Kidney Institute, 9500 Euclid Ave, 44195, Cleveland, Vereinigte Staaten, E-mail: dshoskes@mac.com N2 - Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common condition, however many common therapies used in practice fail to show benefit when subjected to large randomized controlled trials. This discrepancy may be because CP/CPPS is a heterogeneous syndrome rather than one specific disease, which can explain the prior failure of any one therapy for all patients. In order to direct appropriate therapy, a six-point clinical phenotyping system was developed to evaluate patients with CP/CPPS. The clinical domains included are urinary symptoms, psychosocial dysfunction, organ-specific findings, infection, neurological/systemic complaints, and tenderness of muscles, producing the acronym UPOINT. Patients are diagnosed clinically for each domain and are given appropriate multimodal therapy for each positive domain. This approach is simple in theory and practice, and has proven effective in our hands for patients even after many years of failed therapies. PY - 2018 DA - 2018/02/01 DO - 10.5680/lhuii000013 LA - en L1 - https://books.publisso.de/de/system/getFile/195 UR - https://dx.doi.org/10.5680/lhuii000013 L2 - https://dx.doi.org/10.5680/lhuii000013 PB - German Medical Science GMS Publishing House CY - Duesseldorf ER -