Abstract:
Chronic pelvic pain syndrome (CPPS) in men is a complex pathological entity with a delicate nosological diagnosis and multiple etiological hypotheses dominated by urological causes. The Müllerian cyst has an embryological origin and is part of an organic anomaly of the male urogenital tract, incidentally detected during an initial infertility examination or in the presence of non-specific urinary symptoms. By its mass effect, it puts tension on the pelvic floor muscles and induces a stimulation of nerves which could explain its implication in the CPPS. Through this case report and literature review, we will clarify the etiopathogenesis and the diagnosis of CPPS as well as the approach to follow for better therapeutic management.
摘要:
男性慢性盆腔疼痛综合征(CPPS)是一种复杂的病理实体,具有微妙的疾病学诊断和以泌尿外科原因为主的多种病因假设。苗勒氏囊肿具有胚胎学起源,是男性泌尿生殖道有机异常的一部分,在初次不孕症检查或存在非特异性泌尿症状时偶然发现。通过它的质量效应,它使骨盆底肌肉紧张,并引起神经刺激,这可以解释其在CPPS中的含义。通过本病例报告和文献综述,我们将阐明CPPS的病因和诊断,以及更好的治疗管理的随访方法.