Chronic Pelvic Pain in Men Questions & Answers

Updated: Mar 17, 2020
  • Author: Richard A Watson, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Questions & Answers

Overview

What is chronic pelvic pain syndrome (CPPS)?

What causes chronic pelvic pain syndrome (CPPS)?

Which fastidious bacteria cause chronic pelvic pain syndrome (CPPS)?

What is the role of P acnes in the etiology of chronic pelvic pain syndrome (CPPS)?

What is the role of E coli in the etiology of chronic pelvic pain syndrome (CPPS)?

What are the neurologic causes of chronic pelvic pain syndrome (CPPS)?

What are the immunologic causes of chronic pelvic pain syndrome (CPPS)?

What is the prevalence of chronic pelvic pain syndrome (CPPS)?

Where are patient education resources about chronic pelvic pain syndrome (CPPS) found?

Presentation

Which clinical history findings are characteristic of chronic pelvic pain syndrome (CPPS)?

Which physical findings are characteristic of chronic pelvic pain syndrome (CPPS)?

DDX

Which conditions are included in the differential diagnoses of chronic pelvic pain syndrome (CPPS)?

How is chronic pelvic pain syndrome (CPPS) differentiated from interstitial cystitis?

How is chronic pelvic pain syndrome (CPPS) differentiated from chronic urethritis?

How is chronic pelvic pain syndrome (CPPS) differentiated from prostate cancer?

What are the differential diagnoses for Chronic Pelvic Pain in Men?

Workup

How is chronic pelvic pain syndrome (CPPS) diagnosed?

What is the role of imaging studies in the workup of chronic pelvic pain syndrome (CPPS)?

What is the role of a formal flow rate study in the workup of chronic pelvic pain syndrome (CPPS)?

What is the role of urinalysis and culture in the workup of chronic pelvic pain syndrome (CPPS)?

What is the role of diagnostic prostatic massage in the workup of chronic pelvic pain syndrome (CPPS)?

What is the role of PSA testing in the workup of chronic pelvic pain syndrome (CPPS)?

What is the role of urine cytology in the workup of chronic pelvic pain syndrome (CPPS)?

What is the role of videourodynamic evaluation in the workup of chronic pelvic pain syndrome (CPPS)?

What is the role of cystoscopy in the workup of chronic pelvic pain syndrome (CPPS)?

What is the role of EMG in the workup of chronic pelvic pain syndrome (CPPS)?

Treatment

What are the challenges of chronic pelvic pain syndrome (CPPS) treatment?

How is chronic pelvic pain syndrome (CPPS) treated?

How is chronic pelvic pain syndrome (CPPS) prevented?

What is the UPOINT system for categorizing chronic pelvic pain syndrome (CPPS)?

What is the role of prostatic massage in the treatment of chronic pelvic pain syndrome (CPPS)?

What is the role of therapeutic ejaculation in the treatment of chronic pelvic pain syndrome (CPPS)?

What is the role of TURP in the treatment of chronic pelvic pain syndrome (CPPS)?

What is the role of myofascial release therapy in the treatment of chronic pelvic pain syndrome (CPPS)?

Which dietary modifications are used in the treatment of chronic pelvic pain syndrome (CPPS)?

What is the role of sitz baths in the treatment of chronic pelvic pain syndrome (CPPS)?

What is the long-term outlook for new treatment approaches to chronic pelvic pain syndrome (CPPS)?

Which specialist consultations are beneficial for pain management in chronic pelvic pain syndrome (CPPS)?

What are the benefits of a psychiatric consultation in patients with chronic pelvic pain syndrome (CPPS)?

What are the benefits of a consultation with an andrology specialist in patients with chronic pelvic pain syndrome (CPPS)?

What is the role of physiotherapy in the treatment of chronic pelvic pain syndrome (CPPS)?

What is included in the long-term monitoring of chronic pelvic pain syndrome (CPPS)?

What is the role of a voiding diary in the long-term monitoring of chronic pelvic pain syndrome (CPPS)?

What is the role of an environmental impact record in the long-term monitoring of chronic pelvic pain syndrome (CPPS)?

How is a voiding diary evaluated during the treatment of chronic pelvic pain syndrome (CPPS)?

Guidelines

What are the Prostate Cancer UK guidelines on the diagnosis and treatment of chronic pelvic pain syndrome (CPPS)?

Medications

What is the role of medications in the treatment of chronic pelvic pain syndrome (CPPS)?

Which medications in the drug class Alpha-Adrenergic Blockers are used in the treatment of Chronic Pelvic Pain in Men?

Which medications in the drug class Muscle Relaxants are used in the treatment of Chronic Pelvic Pain in Men?

Which medications in the drug class Antibiotics are used in the treatment of Chronic Pelvic Pain in Men?