There have been several classifications proposed in the past,
many of which do not include musculoskeletal dysfunction. These two are more inclusive. The EAU documents is quite inclusive and a
good read.
European Association of Urology (EAU) Guidelines on chronic pelvic pain
(Engeler 2010)
o
Axis 1
§
Specific disease associated pelvic pain
§
Pelvic pain syndrome
o
Axis 2 – System
o
Axis 3 – end organ pain syndrome
o
Axis 4 - referral characteristics
o
Axis 5 – temporal characteristics
o
Axis 6 – character
o
Axis 7 – associated symptoms
o
Axis 8 – psychological symptoms
IUGA / ICS terminology (Haylen 2010)
o
Bladder pain
- suprapubic or retropubic pain, pressure or discomfort, usually
increasing with bladder filling, may persist or be relieved by voiding
o
Urethral pain - inside urethra
o
Vulval pain – in and around vulvar
o
Vaginal pain – within vagina above introitus
o
Perineal pain – between posterior fourchette and
anus
o
Pelvic pain – pain in pelvis
o
Cyclical (mentraul) pelvic pain
o
Pudendal neuralgia – burning anus to clitoris,
pain associated with tenderness over course of pudendal nerve, Nantes criteria
§
Pain in the region of pudendal nerve
§
Pain worse with sitting
§
No night pain
§
No sensory deficit
§
Relief with pudendal block
o
Chronic lower urinary tract and / or other
pelvic pain syndromes
