AGENDA

Purpose: The purpose of this symposium is to assemble a international group of experts in urology, gastroenterology, internal medicine, rheumatology, epidemiology, behavioral science, and other disciplines with a goal to recharacterize the two most common urologic chronic pelvic pain syndromes, interstitial cystitis (IC) and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). This recharacterization will be utilized in future research studies to better define the clinical and other characteristics (phenotype) of men and women afflicted with these syndromes. It is anticipated that the “definition” established at this meeting will be modified as additional information is obtained to provide evidence upon which to base change.

Meeting Format: Each session will include speakers who will address a specific topic, “A Question for the Panel” to stimulate an informed discussion by panel members, and interactive discussion among all attendees. The interactive discussion will provide an opportunity to question speakers and panel members. In addition, there will be Keynote Presentations on topics of interest to attendees but not related directly to the various sessions. These presentations are designed to provide additional breadth to the meeting. Discussions and questions will not follow the keynote presentations.

Panel: The purpose of this multidisciplinary panel is to discuss, delineate, and ascertain all the issues related to understanding the chronic urologic pelvic pain syndromes in a holistic, systematic approach. Members of the panel are: Drs. Andrew Avins, Dedra Buchwald, Daniel Clauw, Phil Hanno, Michael Pezzone, Michel Pontari, and Ursula Wesselmann.

Meeting Product: A general statement will be issued under the names of the Symposium attendees that:

1. Describes the current knowledge about the relationship between the urologic chronic pelvic pain syndromes and other chronic pain syndromes, including irritable bowel syndrome, chronic fatigue syndrome, fibromyalgia, and other related disorders.
2. Recommends the type of clinical, demographic, and other patient-oriented information to be collected in research studies to better characterize patients with urologic chronic pelvic pain syndromes and to advance our understanding of the etiology, risk factors, and distribution of these syndromes and their relationship with other chronic pain syndromes.
3. Proposes a new “working definition” of urologic chronic pelvic pain syndromes, broad enough to be utilized in a wide range of future research studies.

Monday, June 16, 2008

7:15 – 8:00 a.m. Registration
8:00 – 8:10 a.m. Welcome Dr. Star
8:10 – 8:20 a.m. Purpose of the Meeting and Charge to the Attendees Dr. Nyberg
8:20 – 9:00 a.m. Developing a Unified Approach to Characterizing and Defining the Chronic Pelvic Pain Syndromes Dr. Baranowski

Session I: Chronic Pelvic Pain—How to Classify and Define It
Moderator: Dr. Cervigni
9:00 – 9:30 a.m. The Perception of Chronic Pelvic Pain - Dr. Lin
9:30 – 10:00 a.m. The Perception of Chronic Urologic Pelvic Pain - Dr. Clemens
10:00 – 10:30 a.m. A Question for the Panel: Is the Perception of Chronic Pelvic Pain Organ and Gender Specific? Would a Questionnaire Need to Be Gender Specific?
- Panel Members: Drs. Avins, Buchwald, Clauw, Hanno, Pezzone, Pontari, and Wesselmann
10:30 – 10:45 a.m. Interactive Discussion
10:45 – 11:00 a.m. Break

Session II: The Predominant Urologic Chronic Pelvic Pain Syndromes
Moderator: Dr. Krieger
11:00 – 11:30 a.m. Interstitial Cystitis - Dr. Hanno
11:30 – 12:00 p.m. The European Study of IC - Dr. Nordling
12:00 – 1:00 p.m. Lunch
1:00 – 1:30 p.m. The ICS Definition of IC/PBS - Dr. Abrams
1:30 – 2:00 p.m. Chronic Prostatitis/Chronic Pelvic Pain Syndrome - Dr. Schaeffer
2:00 – 2:30 p.m. A Question for the Panel: Are the Current Definitions Too Restrictive? Must the Definitions Be Organ Specific?
- Panel Members: Drs. Avins, Buchwald, Clauw, Hanno, Pezzone, Pontari, and Wesselmann
2:30 – 2:45 p.m. Interactive Discussion
2:45 – 3:00 p.m. Break
3:00 – 3:20 p.m. Mind-Body Interactions in Chronic Pelvic Pain - Dr. Doggweiler
3:20 – 3:40 p.m. Stress and Chronic Pelvic Pain - Dr. Buffington
3:40 – 4:00 p.m. “Associated Disorders” – A Perspective - Dr. VandeMerwe
4:00 – 4:20 p.m. A Model of Bladder/Gut Interactions and “Cross-Talk” - Dr. Pezzone
4:20 – 4:40 p.m. A Review of the Evidence for Overlap between Chronic Pelvic Pain Syndromes and Other Conditions - Drs. Afari and Rodriguez
4:40 – 4:50 p.m. Break

Session III: The Concomitant Chronic Pelvic Pain Syndromes
Moderator: Dr. Avins
4:50 – 5:10 p.m. IC and Other Chronic Pelvic Pain Syndromes - Dr. Warren
5:10 – 5:30 p.m. Chronic Fatigue Syndrome - Dr. Buchwald
5:30 – 5:50 p.m. Fibromyalgia - Dr. Clauw
5:50 – 6:10 p.m. Irritable Bowel Syndrome Dr. Mayer
6:10 – 6:30 p.m. Vulvodynia - Dr. Moldwin
6:30 – 7:00 p.m. Interactive Discussion

Tuesday, June 17, 2008

8:00 – 8:20 a.m. A Study of IC and Associated Symptoms - Dr. Nickel
8:20 – 8:40 a.m. The Generalist’s Approach to Diagnosing Chronic Pelvic Pain Disorders - Dr. Avins

Session IV: Common Features and Dissimilarities of Urologic and Other Chronic Pelvic Pain Syndromes
Moderator: Dr. Ueda
8:40 – 9:00 a.m. Dr. Hanno
9:00 – 9:20 a.m. Dr. Pontari
9:20 – 9:40 a.m. Dr. Warren
9:40 – 10:00 a.m. Dr. Clauw
10:00 – 10:25 a.m. A Question for the Panel: What Is the Relationship between Urologic Pelvic Pain Syndromes and the Other Chronic Pelvic Pain Syndromes: Is It an Epi-phenomenon or Do These Relationships Provide a Clue to a Common Pathophysiology?
- Panel Members: Drs. Avins, Buchwald, Clauw, Hanno, Pezzone, Pontari, and Wesselmann
10:25 – 10:40 a.m. Interactive Discussion
10:40 – 11:00 a.m. Break

Session V: A Patient Advocacy Panel
Moderator: Dr. Shields
11:00 – 11:30 a.m. Overlap of Symptoms from a Patient and Patient Advocacy Perspective

Session VI: Fundamental Information That Needs to Be Collected in Research Studies of IC/PBS and CP/CPPS to Advance Our Understanding of These Disorders
Moderator: Dr. van Ophoven
11:30 – 11:45 a.m. Dr. Clauw
11:45 – 12:00 p.m. Dr. Avins
12:00 – 12:15 p.m. Dr. Nickel
12:15 – 1:00 p.m. Lunch (on your own)

Session VII: A Question for the Panel
Moderator: Dr. Warren
1:00 – 1:45 p.m. A Question for the Panel: How Do We Create the Paradigm: A Unified Approach to the Study of the Chronic Pelvic Pain Syndromes? Panel Members: Drs. Avins, Buchwald, Clauw, Hanno, Pezzone, Pontari, and Wesselmann
1:45 – 2:00 p.m. Interactive Discussion
2:00 – 2:15 p.m. The MAPP: An Overview Dr. Mullins
2:15 – 2:30 p.m. Interactive Discussion
2:30 p.m. Adjourn

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