Abstract
Chronic pelvic pain is defined as a subjectively bothering (painful) sensation, felt by a patient in the pelvic area, perineum, penis or scrotum and which lasts for 6 months or longer. Pelvic area is a very complicated anatomic unit, treated - according to the diagnosis stated - by many medical specializations - urologist, gynaecologist, surgeon, proctologist, oncologist, orthopaedist, neurologist and last but not least by psychiatrist, if pelvic area is 'merely' a projection of psychical disease.
CPP syndrome attacks especially elderly and old men and women, exceptionally young women with endometriosis or post adhesive pain after pelvic operation. Due to the age of patients and a significant number of diseases leading to the identical clinical image, the patients seek help from several specialists without success.
In the course of time they do not already know the initial cause of pain and their state becomes fixed as a pathological psychical reaction requiring pharmacological intervention.