Not only urologists are urged to adopt new model of chronic pelvic pain. The paradigm for chronic prostatitis has been changing. Urologist has to appreciate a new key to understand the pathogenesis of this, better these, chronic conditions. He must abandon the old prostatocentric view and adopt alternative ways of medical thinking. The result of the mind-body schism in the classic conception has been to limit success in the treatment of many of disease. So called chronic prostatitis has been the leader in urology in this way. Every experienced urologist can agrese. More that 75% of their patiens not only with chronic prostatitis have „psychological problems“ causing or contributing to the disease process. Today the amount of empirical evidence support the mindbody unification is overwhelming. Changing paradigm is as follow: When we are looking at chronic pain, it is not something damaged and malfunctioning in the perifery, in the organ alone. When we are looking at chronic pain, we are clearly looking at the disease of the nervous system, regardless of that the originating factor is. Biopsychological model of pain is far superior to the old biomedical model. What is the complexity of chronic pain? Speaker tries to explain the neural plasticity, the pain senzitisation, the gate theory, the pain behavoir, the role of cognition and internalisation of emotions in pain perception in his slideshow as well. Autor stresses the concept of the myofascial and visceral pain syndrome and he tries to coin the most simplified and broadest term: The pelvic myoneuropathy.

AGEL Hospital in Sumperk Šumperk

2. český a mezinárodní andrologický kongres, Štiřín, 3.-5.5.2007