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MP39-18 GENITAL PAIN IN UROLOGIC CHRONIC PELVIC PAIN SYNDROMES (UCPPS) – A MAPP RESEARCH NETWORK STUDY
Abstract   Open access   Peer reviewed

MP39-18 GENITAL PAIN IN UROLOGIC CHRONIC PELVIC PAIN SYNDROMES (UCPPS) – A MAPP RESEARCH NETWORK STUDY

H Henry Lai, Robert Gallop, Siobhan Sutcliffe, J Quentin Clemens, John Krieger, Larissa Rodriguez, Claire Yang, Catherine Bradley, Jennifer Anger, Theresa Spitznagle, …
The Journal of urology, Vol.199(4S), pp.e517-e518
04/2018
DOI: 10.1016/j.juro.2018.02.1265
url
https://doi.org/10.1016/j.juro.2018.02.1265View
Published (Version of record) Open Access

Abstract

INTRODUCTION AND OBJECTIVES We used a genital pain map to characterize the location and distribution of genital pain among men and women with urologic chronic pelvic pain syndromes (UCPPS). We then compared the severity of pelvic pain, non-pelvic pain, psychosocial health and overall health among UCPPS patients with different genital pain patterns. METHODS 233 women and 191 men with UCPPS enrolled in a multi-center, one-year observational study completed a battery of baseline measures, including a genital map describing the location of genital pain during the previous week. Female participants could report pain in any of four areas: labia, urethra, vagina or perineum. Male participants could report pain in any of four areas: glans of penis, shaft of penis, scrotum or perineum. Participants were categorized into three groups: those reporting no genital pain (0 of 4 genital areas), an intermediate group (1-2 genital areas), and a widespread genital pain group (3-4 genital areas). RESULTS Of the 424 UCPPS participants: 13% reported no genital pain, 68% reported intermediate pain, and 19% reported widespread genital pain. In both women and men, when the number of genital pain sites increased (from no genital pain to intermediate to widespread genital pain), participants reported greater intensity of pelvic and non-pelvic pain, were more likely to have chronic overlapping pain conditions (chronic fatigue syndrome in women, fibromyalgia and migraine headache in men), had poorer psychosocial health (higher perceived stress, depression, anxiety, pain catastrophizing, somatic symptoms, and fatigue), and worse overall health (SF-12 physical and mental health), see Table. CONCLUSIONS One out of five men and women with UCPPS reported widespread genital pain. These patients had more intense pelvic and non-pelvic pain, and poorer psychosocial and overall health, suggesting that widespread genital pain may be associated with central nervous system sensitization.

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