Proceedings of the International scientific and practical conference ―Science in the Era of Globalization‖ (May 22-24, 2026) / Publisher website: www.naukainfo.com. - Zurich, Switzerland, 2026. - 353 p.

254 organ, some specialists may wish to consider using an end-organ term such as bladder pain syndrome also using the term primary. The use of such a phrase with the terminology ―syndrome‖ indicates that, although peripheral mechanisms may exist, CNS neuromodulation may be more important and systemic associations may occur. When the pain is localised to more than one organ site, the generic term CPPPS should be used. Some specialists never subdivide by anatomy and prefer to refer to patients with pain perceived within the pelvis and no specific disease process, as suffering from CPPPS, subdivided by psychological and functional symptoms. It is recognised that the end-organ where the pain is perceived may not be the centre of pain generation. This classification is based upon the most effective and accepted method of classifying and identifying different pain syndromes, that is, by site of presentation. It is argued that keeping the end-organ name in the classification is inappropriate because, in most cases, there are multisystemic causes and effects, with the result that symptoms are perceived in several areas [3]. This is an area in which discussions are ongoing, and despite there being strong arguments for both keeping and dispensing with end-organ classification, the Panel have not taken the umbrella approach of referring to all pain perceived in the pelvis as chronic pelvic pain syndrome, primary or secondary. REFERENCES: 1. Treede, R.D., et al. A classification of chronic pain for ICD-11. Pain, 2015. 156: 1003. 2. EAU Guidelines. Edn. presented at the EAU Annual Congress London 2026. ISBN 978-94-92671-32-5. 3. Mardon, A.K., et al. Recommendations for patient education in the management of persistent pelvic pain: a systematic review of clinical practice guidelines. Pain, 2024. 165: 1207.