Background

Condition Lookup

Sub-Category:

Urological Pain

Number of Conditions: 1

Chronic Pelvic Pain in Men

Specialty: Infectious Diseases

Category: Chronic Pain Disorders

Sub-category: Urological Pain

Symptoms:
persistent pelvic pain lasting more than six months; pain during urination; difficulty urinating; pain during ejaculation; testicular or perineal discomfort

Root Cause:
Multifactorial, including pelvic floor muscle dysfunction, inflammation, or nerve hypersensitivity; sometimes associated with chronic prostatitis.

How it's Diagnosed: videos
Patient history, physical examination, urinalysis, imaging studies (e.g., ultrasound), and exclusion of other conditions.

Treatment:
Multimodal approach including pain management, physical therapy, psychological support, and sometimes antibiotics or alpha-blockers.

Medications:
Alpha-blockers (tamsulosin ), antibiotics (if infectious component suspected), and pain relievers (NSAIDs); occasionally antidepressants (amitriptyline ) or neuropathic pain medications (gabapentin ).

Prevalence: How common the health condition is within a specific population.
Affects up to 10% of men; most common in middle-aged adults.

Risk Factors: Factors or behaviors that increase the likelihood of developing the condition.
History of UTIs, sedentary lifestyle, stress, previous pelvic surgery or trauma.

Prognosis: The expected outcome or course of the condition over time.
Chronic but manageable with appropriate interventions; symptoms often improve with combined treatments.

Complications: Additional problems or conditions that may arise as a result of the original condition.
Sexual dysfunction, urinary retention, reduced quality of life.