UPOINT—Urological Treatment Program for Chronic Prostatitis
UPOINT System for Prostatitis Treatment
The UPOINT urological treatment program is a system that takes a holistic approach to treating chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Whereas traditional medicine may look to prescribe antibiotics and pain killers together with drugs for urinary symptoms, UPOINT system for prostatitis treatment is a clinical phenotyping system that looks to the individual components of your symptoms and uses a simple algorithm to help doctors determine specific multimodal therapies that target the treatments towards those specific areas.
Where the UPOINT system for prostatitis treatment is distinguished is that it recognizes that the majority of symptoms of CPPS are actually unrelated to the prostate but manifest themselves as chronic pain in the pelvic area. Here are the areas your doctor will cover when using UPOINT to diagnose your chronic symptoms together with the treatment that may be deployed for your individual condition:
3. Organ Specific (prostate or bladder involvement)
6. Tenderness of Skeletal Muscles
The above 6 domains of the UPOINT system represent different classifications. Patients are classified as a YES or NO for each domain. For example, a patient classified as a YES for Urinary might be prescribed antimuscarinic drugs, alpha blockers, and/or dietary changes because those treatments have been shown to work for Urinary symptoms. If you were classified as a NO for Urinary, and a YES for another domain, the treatments would differ. So not only does UPOINT help you find treatments that may work for your symptoms, it can also prevent you from wasting time and money on treatments that are unlikely to work and may even cause unwanted side effects. Some of the treatments for the following classifications are as follows:
Urinary: antimuscarinic drugs, alpha blockers, and dietary changes
Psychosocial: counseling, antidepressants, cognitive behavioral therapy, and stress reduction
Neurologic/Systemic: neuroleptic drugs and stress reduction
Tenderness of skeletal muscles: pelvic floor physical therapy, quercetin
UPOINT differs from other common practices because it:
- only recommends antibiotics for documented infections;
- includes palpating the pelvic floor muscles to check for muscle spasm and trigger points;
- considers the patient’s mental health, asking about depression and feelings of hopelessness, recommending psychological help when needed;
- only uses drugs like alpha blockers and antimuscarinics for documented urinary symptoms;
- considers systemic conditions associated with pelvic pain (such as irritable bowel);
- considers the use of other organ specific therapies; and
- also recommends natural prostatitis treatments, specifically, phytotherapy and quercetin for the organ specific and pelvic floor spasms domains
The important thing about the UPOINT system for prostatitis treatment is that it recognizes that the original trigger or injury that causes the prostatitis pain and symptoms can be unrelated to the prostate itself. UPOINT also recognizes that there may be several different causes of prostatitis, and it aims to help doctors and patients customize a multimodal treatment approach. For example, an initial allergy or injury can lead to inflammation, which untreated can lead to spasm in the bladder neck or pelvic floor. As if that spasm is not bad enough for the patient, that spasm can lead to neuropathy and chronic pain, which can lead to feelings of depression, stress, hopelessness, and other psychological effects from dealing with chronic pain and frustration. This stress, in turn, can worsen pelvic floor tension. So you can see that it is important to have a “whole body” approach to determine the original cause of the pain and tension manifesting in the pelvic region.
It is important to keep in mind that by approaching your CPPS with a multimodal approach, you can treat all these different layers and identify your CPPS causes from different angles to find relief. Many patients employ several different natural (such as phytotherapy) and alternative treatments to treat their prostatitis symptoms.