Patient with urethral pain syndrome: psychological portrait

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Abstract

The article discusses the psychological characteristics of the patient with chronic pelvic pain syndrome, in particular with its component – urethral pain syndrome. The main specific personality traits inherent in such a patient are highlighted; the factors of development of chronic pelvic pain syndrome are determined, including psychological. Doctors were given recommendations for the management of such patients, in particular, the use of psychological scales and questionnaires directed at identifying markers and specific features.

About the authors

Mariya E. Khalak

Privolzhsky Research Medical University

Author for correspondence.
Email: m-e-h@yandex.ru
ORCID iD: 0000-0003-1897-8894
SPIN-code: 9670-8556

Cand. Sci. (Psy.), assistant of the Department of General and Clinical Psychology

Russian Federation, 10/1 sq. Minina & Pojarskogo, Nizhny Novgorod, 603950

Muhammad Molvi

Privolzhsky Research Medical University

Email: msmolvi@mail.ru
ORCID iD: 0000-0001-7846-4356

Postgraduate student, Department of Urology after named  E.V. Shakhov

Russian Federation, 10/1 sq. Minina & Pojarskogo, Nizhny Novgorod, 603950

Valery F. Lazukin

Privolzhsky Research Medical University

Email: valery-laz@yandex.ru
ORCID iD: 0000-0003-0916-0468
SPIN-code: 3400-9905

Cand. Sci. (Biol.), Associate Professor of the Department of Medical Physics and Informatics 

Russian Federation, 10/1 sq. Minina & Pojarskogo, Nizhny Novgorod, 603950

Elena D. Bozhkova

Privolzhsky Research Medical University

Email: readytotalk@mail.ru
ORCID iD: 0000-0003-0105-0360
SPIN-code: 2887-9548

Cand. Sci. (Med.), Acting Head of the Department of General and Clinical Psychology

Russian Federation, 10/1 sq. Minina & Pojarskogo, Nizhny Novgorod, 603950

Olga S. Streltsova

Privolzhsky Research Medical University

Email: strelzova_uro@mail.ru
ORCID iD: 0000-0002-9097-0267
SPIN-code: 9674-0382

Doc. Sci. (Med.), Department of Urology after named  E.V. Shakhov

Russian Federation, 10/1 sq. Minina & Pojarskogo, Nizhny Novgorod, 603950

References

  1. Rothberg MB, Wong JD. All Dysuria Is Local A Cost-effectiveness Model for Designing Site-specific Management Algorithms. J Gen Intern Med. 2004;19(5 Pt 1):433–443. doi: 10.1111/j.1525-1497.2004.10440.x
  2. Sung TC. Is Urethral Pain Syndrome Really Part of Bladder Pain Syndrome? Urogenit Tract Infect. 2017;12(1):22–27. doi: 10.14777/uti.2017.12.1.22
  3. Phillip H, Okewole I, Chilaka V. Enigma of urethral pain syndrome: Why are there so many ascribed etiologies and therapeutic approaches? International J Urol. 2014;21:544–548. doi: 10.1111/iju.12396
  4. Esin RG, Fedorenko AI, Gorobets EA. Chronic non-specific pelvic pain in the case of women: multidisciplinary issue. Medical Almanac. 2017;5(50):97–101. (In Russ.) doi: 10.21145/2499-9954-2017-5-97-101
  5. Belyakov KM, Streltsova OS, Antipenko EA, et al. Possibilities of the pudendal nerve studying in chronic urethral pain syndrome using magnetic stimulation method. Medical Almanac. 2020;2(63):64–70. (In Russ.)
  6. Piontek K, Ketels G, Albrecht R, et al. Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome. J Psychosom Res. 2019;120:1–7. doi: 10.1016/j.jpsychores.2019.02.010
  7. Passavanti MB, Pota V, Sansone P, et al. Chronic Pelvic Pain: Assessment, Evaluation, and Objectivation. Pain Res. Treat. 2017;2017:9472925. doi: 10.1155/2017/9472925
  8. Smith CP. Male chronic pelvic pain: an update. Indian J Urol. 2016;32(1):34–39. doi: 10.4103/0970-1591.173105
  9. Aziz Q, Giamberardino MA, Barke A, et al. The IASP classification of chronic pain for ICD-11: Chronic visceral pain. Pain. 2019;160(1);69–76. doi: 10.1097/j.pain.0000000000001362
  10. EAU [Internet]. Engeler D, Baranowski AP, Borovicka J, et al. European Association of Urology. Guidelines on Chronic Pelvic Pain, 2021. Available from: https://uroweb.org/guideline/chronic-pelvic-pain
  11. Stenjaeva NN, Apolihina IA. Hronicheskaja tazovaja bol’: psihosomaticheskie aspekty. Consilium Medicum. 2012;6(14):19–20. (In Russ.)
  12. Naliboff BD, Stephens AJ, Afari N, et al. Widespread Psychosocial Difficulties in Men and Women with Urologic Chronic Pelvic Pain Syndromes: Casecontrol Findings From the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research Network. J Urol. 2015;85(6):1319–1327. doi: 10.1016/j.urology.2015.02.047.14
  13. Kirmayer LJ, Groleau D, Looper KJ, et al. Explaining medically unexplained symptoms. Can J Psychiatry. 2004;49(10):663–671. doi: 10.1177/070674370404901003
  14. Osipova VV. Pain: psychological aspects. Neurology, Neuropsychiatry, Psychosomatics. 2010;2(1):4–9. (In Russ.) doi: 10.14412/2074-2711-2010-62
  15. Shoskes DA, Nickel JC, Kattan MW. Phenotypically directed multimodal therapy for chronic prostatitis/chronic pelvic pain syndrome: a prospective study using UPOINT. Urology. 2010;75(6):1249–1253. doi: 10.1016/j.urology.2010.01.021
  16. Woolf CJ. Evidence for a central component of post-injury pain hypersensitivity. Nature. 1983;306(5944):686–688. DOI: 10.1038/ 306686a0
  17. Savidge CJ, Slade P. Psychological aspects of chronic pelvic pain. J Psychosom Res. 1997;42(5):433–444. doi: 10.1017/CBO9781107478084.008
  18. Parker J, Buga S, Sarria JE, Spiess PE. Advancements in the Management of Urologic Chronic Pelvic Pain: What is New and What Do We Know? Curr Urol Rep. 2010;11(4):286–291. doi: 10.1007/s11934-010-0121-9
  19. Sobchik LN. Standartizirovannyj mnogofaktornyj metod issledovanija lichnosti SMIL. (Praktikum po psihodiagnostike). Saint Petersburg: Rech’, 2002. 217 p. (In Russ.)
  20. Naboka YL, Gudima IA, Mordanov SV, et al Virusuria as a component of the urine microbiota and its significance for assessing the health of the urinary tract: a descriptive clinical study. Urologiia. 2020;(1):12–18. (In Russ.) doi: 10.18565/urology.2020.1.12-18
  21. Naboka YL, Kogan MI, Gudima IA, et al. Is there a relationship between the urine, vagina, and gut microbiota in patients with an infection of the upper urinary tract? Vestnik Urologii. 2019;7(1):38–45. (In Russ.) doi: 10.21886/2308-6424-2019-7-1-38-45
  22. Zmushko EI, Belozerov ES, Minin JA. Klinicheskaja immunologija. Saint Petersburg: Piter, 2001. (In Russ.)
  23. Kiseleva EB, Moiseev AA, Kuyarov AS, et al. In vivo assessment of structural changes of the urethra in lower urinary tract disease using cross-polarization optical coherence tomography. J Innov Opt Health Sci. 2020;13(903848). doi: 10.1142/S1793545820500248
  24. Dubatova IV, Voyakina VG, Lepyavka SV, et al. The use of psychometric methods for the diagnosis of anxiety and depressive disorders in patients with a general somatic profile. Kazan medical journal. 2019;100(4):565–570. (In Russ.) doi: 10.17816/KMJ 2019-565
  25. Osin EN, Leontiev DA. Brief Russian-Language Instruments to Measure Subjective Well-Being: Psychometric Properties and Comparative Analysis. Monitoring of Public Opinion: Economic and Social Changes Journal. 2020;(1):117–142. (In Russ.) doi: 10.14515/monitoring.2020.1.06

Supplementary files

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2. Fig. 1. Comparison in VAS results

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3. Fig. 2. Comparative analysis of SF-36 results

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4. Fig. 3. Average scores on the following validity scales: L, F and K

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5. Fig. 4. Psychological status of a patient with chronic pelvic pain syndrome according to the MMPI content scales

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