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• W2016155663 abstract "No AccessJournal of UrologyAdult Urology1 Jan 2010Chronic Testicular Pain as a Symptom of Pelvic Floor Dysfunction Erik Planken, Petra J. Voorham-van der Zalm, August A.B. Lycklama à Nijeholt, and Henk W. Elzevier Erik PlankenErik Planken More articles by this author , Petra J. Voorham-van der ZalmPetra J. Voorham-van der Zalm More articles by this author , August A.B. Lycklama à NijeholtAugust A.B. Lycklama à Nijeholt More articles by this author , and Henk W. ElzevierHenk W. Elzevier More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2009.08.147AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined whether chronic testicular pain is related to pelvic floor overactivity after ruling out other disease pathology. Materials and Methods: A total of 41 patients with chronic testicular pain evaluated at our Pelvic Floor Department at a tertiary academic center were included in this retrospective study. All patients underwent standard pelvic floor investigation, including history using a standardized questionnaire and electromyography registration of the pelvic floor. In the questionnaire patients were asked about complaints in 3 domains (micturition, defecation and sexual function) suggestive of pelvic floor dysfunction. Electromyography registration of the pelvic floor was performed. The resting tone of the pelvic floor was considered increased at 3 μV or greater. Results: Mean patient age was 48 years. Of the patients 93% had at least 1 symptom suspicious of pelvic floor dysfunction. A total of 22% had complaints in 1 of the domains of micturition, defecation or sexual function, 24% had complaints in 2 domains and 49% had complaints in all 3 domains. On electromyography registration of the pelvic floor 88% of patients appeared to have an increased resting tone of the pelvic floor muscles at a mean of 6.7 μV (normal less than 3). The patients with a normal pelvic floor resting tone were significantly older than those with an increased resting tone (65.6 vs 45.6, p = 0.0001). Conclusions: Chronic testicular pain can be a symptom of pelvic floor overactivity, especially in younger patients. A diagnostic evaluation should be performed when no pathophysiology can be found. References 1 : EAU guidelines on chronic pelvic pain. Eur Urol2004; 46: 681. Google Scholar 2 : The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology2003; 61: 37. Google Scholar 3 : Psychological factors in men with genital pain. Cleve Clin J Med1990; 57: 697. Google Scholar 4 : Chronic testicular pain: an overview. Eur Urol2004; 45: 430. 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Google Scholar 19 : Is abuse causally related to urologic symptoms?: Results from the Boston Area Community Health (BACH) Survey. Eur Urol2007; 52: 397. Google Scholar 20 : Multiple pelvic floor complaints are correlated with sexual abuse history. J Sex Med2009; 6: 193. Google Scholar 21 : NIH consensus definition and classification of prostatitis. JAMA1999; 282: 236. Crossref, Medline, Google Scholar 22 : Management of prostatitis. Prostate Cancer Prostatic Dis2002; 5: 172. Google Scholar 23 : Prostatitis: evolving management strategies. Urol Clin North Am1999; 26: 737. Crossref, Medline, Google Scholar 24 : The effect of biofeedback physical therapy in men with Chronic Pelvic Pain Syndrome Type III. Eur Urol2005; 47: 607. Google Scholar 25 : Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. J Urol2005; 174: 155. Link, Google Scholar 26 : Biofeedback, pelvic floor re-education, and bladder training for male chronic pelvic pain syndrome. Urology2000; 56: 951. Google Scholar Leiden University Medical Center, Leiden, The Netherlands© 2010 by American Urological AssociationFiguresReferencesRelatedDetailsCited byAnderson R, Wise D, Sawyer T, Glowe P and Orenberg E (2011) 6-Day Intensive Treatment Protocol for Refractory Chronic Prostatitis/Chronic Pelvic Pain Syndrome Using Myofascial Release and Paradoxical Relaxation TrainingJournal of Urology, VOL. 185, NO. 4, (1294-1299), Online publication date: 1-Apr-2011. Volume 183Issue 1January 2010Page: 177-181 Advertisement Copyright & Permissions© 2010 by American Urological AssociationKeywordsprostatitispelvic floortestispainAcknowledgmentsCaroline M. M. de Jong-Mom, Department of Urology, Leiden University Medical Center, provided assistance.MetricsAuthor Information Erik Planken More articles by this author Petra J. Voorham-van der Zalm More articles by this author August A.B. Lycklama à Nijeholt More articles by this author Henk W. Elzevier More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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