EAU guidelines on chronic pelvic pain

Magnus Fall, Andrew P Baranowski, Sohier Elneil, Daniel Engeler, John Hughes, Embert J Messelink, Frank Oberpenning, Amanda C de C Williams
European Urology 2010, 57 (1): 35-48

CONTEXT: These guidelines were prepared on behalf of the European Association of Urology (EAU) to help urologists assess the evidence-based management of chronic pelvic pain (CPP) and to incorporate the recommendations into their clinical practice.

OBJECTIVE: To revise guidelines for the diagnosis, therapy, and follow-up of CPP patients.

EVIDENCE ACQUISITION: Guidelines were compiled by a working group and based on a systematic review of current literature using the PubMed database, with important papers reviewed for the 2003 EAU guidelines as a background. A panel of experts weighted the references.

EVIDENCE SYNTHESIS: The full text of the guidelines is available through the EAU Central Office and the EAU Web site ( This article is a short version of the full guidelines text and summarises the main conclusions from the guidelines on the management of CPP.

CONCLUSIONS: A guidelines text is presented including chapters on chronic prostate pain and bladder pain syndromes, urethral pain, scrotal pain, pelvic pain in gynaecologic practice, neurogenic dysfunctions, the role of the pelvic floor and pudendal nerve, psychological factors, general treatment of CPP, nerve blocks, and neuromodulation. These guidelines have been drawn up to provide support in the management of the large and difficult group of patients suffering from CPP.


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