Prostate pain syndrome

Prostate pain syndrome, also called Chronic nonbacterial Prostatitis or Chronic Pelvic Pain Syndrome (CPPS), is an inflammatory disease of the prostate. The genital and perineal pain/discomfort and urinary symptoms, erectile dysfunction and premature ejaculation can be periodic or constant and can significantly impact the quality of life. Depression is common in these patients. 

The complexity of this syndrome, the symptoms not always well defined and the lack of knowledge of the causes can make the diagnosis difficult. These patients often receive misdiagnosis or ineffective treatments, leading them to consult many doctors but to no avail. The sense of abandonment (nobody can help me) and depression can be the main component of this disease, especially in the most severe cases.

What are the possible causes of chronic pelvic pain syndrome? Who can be affected, and how can they be diagnosed and treated?

Let’s know more.

Causes of prostate pain

The causes remain unknown. The prostate pain might result from progression from acute, chronic bacterial and abacterial inflammatory prostatitis. The origin of pain may be related to local factors (nerve damage). The problem may worsen because of abnormal pain perception by the patient (psychologic distress) and painful muscular contracture of the perineum and pelvic floor.

Symptoms

Prostate pain may be periodic or constant. These are:

• Pain in the lower abdomen, pelvis and perineum, perianal, testicles, inguinal area, lower back, inner thigh;
• Lower urinary tract symptoms like painful urination, frequency and urgency, post-void dribbling;
• Painful ejaculation;
• Premature ejaculation;
• Erectile dysfunction.

Anxiety about pain often refers to fears of missed pathology (particularly cancer) as the cause of pain or uncertainties about treatment and prognosis.

Diagnosis

The medical history is essential for the evaluation of patients with prostate pain. This pain syndrome is diagnosed according to:

• The symptoms;
• Duration (for a minimum of three out of the past six months);
• Absence of other pathology.

Treatment

• Dietary modifications;
• Prostate food supplements to decrease the inflammation;
• Alpha-blockers;
• Prostate massage;
• Physiotherapy for the relaxation of the pelvic floor;
• Psychologic and sexology support.

Final recommendations