Chronic Pelvic Pain

1. What is the main characteristic element of the Pelvic Pain Syndrome?

Α. Pain, pressure or discomfort localized in the pelvis.

Β. Pain, pressure or discomfort related to bladder filling, relieved with urination.

C. Pain, pressure or discomfort related to the bladder.

D. None of the above. 


2. Which of the following conditions occur/s in the pelvic pain syndrome more frequently than in the general population? 

Α. Allergies and autoimmune diseases

Β. Crohn's disease

C. Sjogren's syndrome

D. Fibromyalgia

Ε. All the above.


3. The various Pelvic Pain Syndrome types are classified based on:

Α.  cystoscopic findings with hydrodilation, morphological elements from bladder biopsies and localization of pain.  

Β. cystoscopic findings with hydrodilation, morphological elements from bladder biopsies.

C. cystoscopic findings and symptoms.

D. cystoscopic findings with hydrodilation, symptoms and urodynamic findings. 


4. Which of the following is NOT a 2nd-line treatment in the Pelvic Pain Syndrome?

Α. Analgesics

Β. Αntidepressants

C. Αntihistamines

D. Botulinum toxin Α

Ε. Pentosan Polysulfate Sodium (Na-PPS)


5. Pelvic Pain Syndrome: Transurethral Resection, Cautery or Laser are applied mainly: 

Α. after relapse  of BCG

Β. in the Bladder Pain Syndrome, type 3X 

C. in every type of Bladder Pain Syndrome

D. in none of the above cases


6. In the lower urinary tract, the pain is characterized as 'chronic', when lasting at least: 

Α. 1 month

Β. 2 months

C. 3 months

D 6 months

Ε. 9 months


7. In the Chronic Pelvic Pain Syndrome (CPPS):

Α. pain may be caused by tumor in the minor pelvis.

Β. microbes are cultivated in 15% of cases.

C. differentiation between ΙΙΙΑ and ΙΙΙΒ has no clinical or therapeutic significance.

D. administration of corticosteroids

Ε. Endometriosis is not an etiological factor. 


8. In the therapeutic treatment of chronic prostatic pain (prostatodynia), the following has no documented indication: 

Α. COX2 inhibitors

Β. Phytotherapy

C. Supportive care and acupuncture

D. α-inhibitors

Ε. Quinolones


9. All conditions below are mentioned as causes of chronic testicular pain APART FROM: 

Α. Spermatocele

Β. Inguinal hernia

C. Constipation

D. Irritable bowel syndrome

Ε. Urethral stricture


10. Which of the following statements is FALSE?

Α.  Gabapentin and Pregabalin are substances acting on pain signal transmission and are used in the Chronic Pelvic Pain Syndrome (CPPS).

Β. Prostatic Pain Syndrome (PPS) and Bladder Pain Syndrome (BPS) are etiologically interconnected.

C. Sexually-transmitted diseases may lead to chronic orchialgia (testicular pain). 

D. In the treatment of CPPS, intraprostatic injections of lidocaine and Botulinum toxin A have been tried. 

Ε. Scrotal ultrasound has high diagnostic value in identifying the cause of chronic scrotal pain. 


Correct answers 


1 C

9 C

2 Ε

10 Ε

3 Β


4 D


5 Β


6 Α


7 Β