Chronic pelvic pain syndrome
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
- Pain or discomfort
- 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
- Antibiotics