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Urology
Frequently, urologists are confronted with patients with chronic prostatitis and epididymoorchitis who do not respond to the conventional treatments; their pain is actually due to underlying enthesopathy. Pain in the testicles and epididymis is actually referred pain from spermatic cord sitting examined with the patient on an inflamed enthesopathy over pubic bone.
Incidence of non-bacterial prostatitis (C.P.P.S. III) is staggering. This category involves 90-95% of all cases diagnosed as prostatitis. In the USA this condition affects tens of millions of men at some in their lives.
Interstitial cystitis has been a controversial diagnosis. Some doctors believe that it does not exist as a separate entity. Females account for 88% of sufferers. Pelvic pain is reported in up to 70% of patients with IC and occasionally it is a presenting symptom. Etiology of IC is unknown.
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