You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Interstitial Cystitis1 Apr 2016MP72-09 A STANDARDIZED UROLOGICAL EXAMINATION FOR WOMEN AND MEN WITH UROLOGIC CHRONIC PELVIC PAIN SYNDROMES: A MAPP NETWORK SITE-SPECIFIC STUDY Claire Yang, Jane Miller, Adam Omidpanah, and John Krieger Claire YangClaire Yang More articles by this author , Jane MillerJane Miller More articles by this author , Adam OmidpanahAdam Omidpanah More articles by this author , and John KriegerJohn Krieger More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1622AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES There have not been any physical examination findings reported to be specific to patients with urologic chronic pelvic pain syndromes (UCPPS). Our objective was to perform a standardized examination for both women and men with UCPPS. METHODS Participants were enrolled in the MAPP Epidemiology Phenotyping Study. Our study included an expanded physical examination using the same technique in women and men, looking at 4 categories: a) extrapelvic, regional tenderness (including abdomen, flank, and back) b) pelvic floor and pelvic organ tenderness, c) pudendal nerve sensory function, and d) pelvic floor motor function. Comparisons of women and men were performed separately. Patients with UCPPS, positive controls with chronic fatigue syndrome and healthy, and pain free controls were enrolled. RESULTS The examination was performed in 65 UCPPS cases (31 F, 34 M), 30 positive controls (15 F, 15 M), and 41 healthy controls (23 F, 18 M). There were no differences in pudendal nerve sensory function and pelvic floor motor function, when comparing cases with healthy controls, and cases with positive controls. Female and male cases were more likely to have tenderness than healthy controls in the following regions: right and left levator muscles, right and left obturator muscles, and right and left urogenital diaphragm. Female cases were more likely than healthy controls to have suprapubic, symphysis pubis, posterior superior iliac spine and bimanual examination tenderness. Positive controls also demonstrated tenderness in pelvic and extrapelvic regions, but less frequently than in cases, and more so in women than in men. CONCLUSIONS This extended examination revealed that pelvic and extrapelvic tenderness was found most frequently in UCPPS cases than in healthy and positive controls. Female positive controls also demonstrated tenderness. This examination can be used with female and male patients with UCPPS, and may prove helpful for phenotyping them. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e955 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Claire Yang More articles by this author Jane Miller More articles by this author Adam Omidpanah More articles by this author John Krieger More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...