PriMera Scientific Medicine and Public Health (ISSN: 2833-5627)

Review Article

Volume 2 Issue 4

Biopsychosocial Approach to the Treatment of Chronic Urological Pelvic Pain Syndrome

AI Melehin*

March 15, 2023

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Abstract

Using the example of modern biopsychosocial urological models, the article shows that the syndrome of chronic urological pelvic pain has a multi-factorial Genesis and requires an integrative, multidisciplinary approach (urologist, neurologist, and clinical psychologist).In this regard, the identification of individual urological clinical phenotypes of patients allows us to identify predisposing, provoking and supporting factors that determine the course of the disease and the response to therapy. The phenotypic urological systems are described: Marr, UPOINT, and DABBEC. The specifics of mental comorbidity (depression, panic disorder, borderline personality disorder, etc.) in this group of urological patients are detailed. The Association of symptoms of depression and changes in sexual functioning with urological chronic pelvic pain syndrome is shown. For the first time, the models of urinary-bladder-bowel-brain by L. Karsten are described; accumulated stress and falsification of anxiety, loss of control in patients with urological pelvic pain by D. Dasalakis and models of the influence of the patient's mental state on muscle-tonic manifestations in the urological clinic of Yaong Ki. Personal characteristics of patients with urological pelvic pain neuroticism, compliance, openness, conscientiousness, conscientiousness, changes in masculine identity, alexithymia, catastrophization) are systematized and described. The tactics of conducting a full and rapid comprehensive psychological assessment of a urological patient are presented.

Keywords: chronic prostatitis; chronic pelvic pain syndrome; prostatitis; biopsychosocial approach; catastrophization, neuroticism; depression

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