Chronic pelvic pain syndrome

From greek.doctor

Chronic pelvic pain syndrome (CPPS), also called chronic non-bacterial prostatitis, is a condition with chronic or recurrent urogenital symptoms (like chronic bacterial prostatitis) but without evidence of bacterial infection.

  • Types
    • Inflammatory type (WBCs in four-glass test)
    • Non-inflammatory type (no WBCs)
  • Clinical features
    • Pain or discomfort
      • Perineal, suprapubic, rectal, etc.
    • Pain upon ejaculation
    • Bloody ejaculate
  • Diagnosis
    • CPPS is a diagnosis of exclusion
    • No bacteria on four-glass test
  • Treatment
    • Antibiotics
      • No bacteria can be detected but it’s worth to try
    • Alpha blockers
    • Biofeedback
    • Physiotherapy
    • NSAIDs
    • Phytotherapy