UPOINT Score of Shoskes et al to Clinically Phenotype a Patient with Chronic Prostatitis/Chronic Pelvic Pain Syndrome

Description

Skoskes et al developed the UPOINT score to describe the clinical phenotype shown by a man with chronic prostatitis/chronic pelvic pain syndrome. The problems that are present can serve as a starting point for patient management. The authors are the Cleveland Clinic and Queens University in Kingston, Ontario.

Abbreviation	Designation	Criteria
U	urinary	postvoid residual urine volume > 100 mL, urgency, frequency, nocturia, urinary score for the Chronic Prostatitis Symptom Index > 4
P	psychosocial	depression, helplessness, hopelessness
O	organ (prostate) specific	prostate tender to palpation, purulent prostatic fluid, hematospermia, extensive calcifications
I	infection	bacteria in prostatic fluid, other
N	neurologic or systemic features	irritiable bowel syndrome, pain outside pelvis or abdomen, fibromyalgia, chronic fatigue syndrome
T	tenderness of skeletal muscles	muscles of abdomen and pelvic floor with palpable spasm or trigger points

Response	Points
yes, present	1
no, absent	0

The results can be reported as:

(1) a summation from 0 to 6 to represent the total number of domains affected

(2) a binary string such as 010110

The symptom severity tends to increase along with the number of domains.

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UPOINT Score of Shoskes et al to Clinically Phenotype a Patient with Chronic Prostatitis/Chronic Pelvic Pain Syndrome

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