Is My Chronic Pelvic Pain Treatable?
Though historically, it has been difficult to diagnose, the following would indicate a diagnosis of Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS):
Pelvic Pain (in the penis, testes, bladder, even rectum), with/or without
- Urinary Symptoms (frequency, urgency, dysuria, nocturia-all defined later)
- Sexual Symptoms (erectile dysfunction, acquired premature ejaculation, painful ejaculation)
Men with CP/CPPS present with different symptoms of varying severity and timing, often causing the patient and clinician to miss the diagnosis.
The cause of CP/CPPS is unknown, but the best way to think about it is as severe tension being involuntarily held in the pelvic muscles. (Think of it as a headache in the pelvis.) This tension causes pain and affects the functioning of all the pelvic organs.
The best way to treat men with CP/CPPS is to combine treatments for specific problems, such as premature ejaculation or erectile dysfunction, with treatments for CP/CPPS including:
- Pelvic Floor Therapy
- Daily Low-Dose Tadalafil (Cialis)
Even if you have seen multiple practitioners and undergone multiple treatments for some of these symptoms, most men will improve dramatically with proper coordinated care.
What is CP/CPPS?
How Common is CP/CPPS?
What Causes CP/CPPS?
What are the Symptoms of CP/CPPS?
How is CP/CPPS Diagnosed?
HOW IS CP/CPPS TREATED?
In an ideal world, once a diagnosis of CP/CPPS has been made, definitive treatment of each symptom of the underlying disease can begin at once. For example, if a strep infection is causing a sore throat, fever, body aches and chills, antibiotics are given to treat all of these at once.
Unfortunately, this is not the optimal way to treat CP/CPPS. Since we do not really know what causes it, there is often no single treatment that helps with all the symptoms.
However, we have found that active management/treatment does help most patients feel significantly, and often completely, better. There are some universal therapies that we use on our patients, while simultaneously treating the specific issues they are having (like ED or PE).