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“Spousal Revenge Syndrome”- description of a new chronic pelvic pain syndrome patient cohort

Iryna Makovey, Robert Dolinga, Daniel A. Shoskes

Glickman Urologic and Kidney Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA
Address correspondence to Dr. Daniel A. Shoskes, Glickman Urologic and Kidney Institute, 9500 Euclid Avenue, Q10-1, Cleveland, Ohio 44195 USA

Canadian Journal of Urology 2016, 23(1), 8176-8178.

Abstract

Psychological factors may play a role in the pathophysiology of chronic prostatitis/chronic pelvic pain syndrome (CP/ CPPS). This case series describes a cohort of 10 men presenting with CP/CPPS whose symptoms began after an extramarital sexual encounter, who strongly believed they had a sexually transmitted infection (STI) despite negative testing, and who have had no improvement with empiric antibiotic treatment. Patients’ clinical presentation and physical exam findings are reviewed. All men were clinically phenotyped with the UPOINT system. Pelvic floor spasm and not infection was prominent in these men. Treatment recommendations are proposed and compliance assessed.

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