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Brian P. Jacob, David C. Chen, Bruce Ramshaw, Shirin Towfigh (eds.) - The SAGES Manual of Groin Pain-Springer International Publishing (2016)

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Table 10.2. European Association <strong>of</strong> Urology classification <strong>of</strong> chronic pelvic pain syndromes.<br />

Axis I<br />

Region<br />

Chronic<br />

pelvic<br />

pain<br />

Specific<br />

diseaseassociated<br />

pelvic<br />

pain<br />

OR<br />

Pelvic<br />

pain<br />

syndrome<br />

Axis II<br />

System<br />

Urological<br />

Gynecological<br />

Gastrointestinal<br />

Axis III<br />

End-organ as pain<br />

syndrome as identified<br />

from Hx, Ex, and Ix<br />

Prostate<br />

Bladder<br />

Scrotal<br />

Testicular<br />

Epididymal<br />

Penile<br />

Urethral<br />

Post- vasectomy<br />

Vulvar<br />

Vestibular<br />

Clitoral<br />

Endometriosis-associated<br />

Chronic pelvic pain<br />

syndrome with cyclical<br />

exacerbations<br />

Dysmenorrhea<br />

Irritable bowel<br />

Chronic anal<br />

Intermittent chronic anal<br />

Axis IV<br />

Referral<br />

characteristics<br />

Suprapubic<br />

Inguinal<br />

Urethral<br />

Penile/clitoral<br />

Perineal<br />

Rectal<br />

Back<br />

Buttocks<br />

Thighs<br />

Axis V<br />

Temporal<br />

characteristics<br />

Onset<br />

Acute<br />

Chronic<br />

Ongoing<br />

Sporadic<br />

Cyclical<br />

Continuous<br />

Time<br />

Filling<br />

Emptying<br />

Immediate post<br />

Late post<br />

Trigger<br />

Provoked<br />

Spontaneous<br />

Axis VI<br />

Character<br />

Aching<br />

Burning<br />

Stabbing<br />

Electric<br />

Axis VII<br />

Associated<br />

symptoms<br />

Urological<br />

Frequency<br />

Nocturia<br />

Hesitance<br />

Dysfunctional<br />

flow<br />

Urge<br />

Incontinence<br />

Gynecological<br />

Menstrual<br />

Menopause<br />

Gastrointestinal<br />

Constipation<br />

Diarrhea<br />

Bloatedness<br />

Urge<br />

Incontinence<br />

Neurological<br />

Dysaesthesia<br />

Hyperaesthesia<br />

Axis VIII<br />

Psychological<br />

symptoms<br />

Anxiety<br />

About pain or<br />

putative cause<br />

<strong>of</strong> pain<br />

Catastrophic<br />

thinking about<br />

pain<br />

Depression<br />

Attributed to<br />

pain or impact<br />

<strong>of</strong> pain<br />

Attributed to<br />

other causes<br />

Unattributed<br />

PTSD<br />

symptoms<br />

Reexperiencing<br />

Avoidance<br />

(continued)

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