Chronic Pelvic Pain Syndrome
In Chronic Pelvic Pain Syndrome, also sometimes known as prostatodynia, a man experiences pain in his pelvic area which does not have a clear explanation. The pain is typically felt in the groin, genitalia and perineum. While no bacteria or pus is seen during a urine analysis for this condition, a Gram stain and prostatic secretions will show bacteria and excess white blood cells.
There are four categories of pelvic pain syndrome.
- Acute bacterial
- Chronic bacterial
- Chronic abacterial
- Asymptomatic inflammatory
Chronic pelvic pain syndrome is associated with perineal or pelvic pain that lasts longer than three months and is not caused by a UTI. Symptoms often come and go, and range from mild pains to very severe ones. Pain can be present in the perineum, testicles, penis tip, bladder, rectum and back. Sitting is often very uncomfortable, urinating may be frequent, post ejaculatory pain is frequent, and erectile difficulties, low libido and sexual dysfunction may be reported.
Causes of Chronic Pelvic Pain Syndrome
There are several causes to pelvic pain syndrome. One of the most common causes is stress. Previously, it was believed that bacterial infection was a cause of it, but that changed in a 2003 study when it was found that it was not a major cause of it. The study found that one-third of normal men and patients had equal amounts of similar bacteria in their prostates. Climate, especially cold climate, and food allergies are also causes.
Currently, there is no diagnostic tests for chronic pain syndrome. The disorder is poorly understood but it accounts for 95 percent of prostatitis diagnosis. It can be found in men of any age, often between the ages of 35 to 45. It has been found that men with chronic pain syndrome have a higher chance of suffering from chronic fatigue syndrome and irritable bowel syndrome.
Treatment of Chronic Pelvic Pain Syndrome
It can be very difficult to treat chronic pelvic pain. Anxiety can trigger prostatitis, and aerobic exercises can help those who suffer from it. Acupuncture has reportedly benefited some patients as well. Psychological therapy can also help, as can physical therapy. Biofeedback physical therapy to relearn how to control pelvic floor muscles has found to be useful.
A number of medications have also been used to deal with the disorder. Alpha blockers and antibiotics tend to be the most effective medications to treat the condition. If you have been experiencing prolonged pain in the pelvic area, contact your doctor to find out if you may be suffering from chronic pelvic pain syndrome.