Chronic Pelvic Pain Syndrome Treatment


Do you have problems with chronic pelvic pain and need more information? Chronic pelvic pain syndrome generally affects about 10% of men between the ages of 20-74. The term is used to describe lower pelvic pain associated with the prostate. Take a look
below to read questions answered by medical Experts.
What would cause a cloudy discharge and painful urination?

The cloudiness may be prostatic secretion which is caused by pressure on the prostate during urination or it could be associated with chronic pelvic pain syndrome (CPPS). CPPS can be very difficult to treat and may require more than antibiotics. However,
the first attempt in treating the condition usually involves antibiotics then non-steroidal anti-inflammatory medications if there is no improvement. An alpha blocker may also be used long term to reduce bladder obstruction. An individual may improve
symptoms by ensuring proper hydration and taking stool softeners. Pelvic floor training exercises may reduce symptoms.
What tests are recommended to diagnose CPPS?

In order to properly treat CPPS, first complete the following tests to ensure proper diagnosis:
Semen cultures to test for pyogenic organisms and atypical bacteria.
Urine cultures which is collected after prostatic massage for testing of tuberculosis and pyogenic organisms.
Videocystourethrography - Videourodynamics and CMG.Urine cytology.
Ultrasonic urine testing.
Prostate-specific antigen.
What treatments can improve the symptoms of CPPS?
CPPS treatment depends upon the diagnosis.
For an infection antibiotics should be prescribed.
If the testes have recurrent torsion then surgery will be required.
A physiotherapist may provide therapies such as biofeedback, alpha blockers, and stimulation of the sacral nerve.
Alkalinization of the urine.
If symptoms appear at night, try drinking a tall glass of warm water combined with 1 teaspoon of baking soda.
If acute pain is present, warm sitz bathes may be helpful.
Is it normal for a primary care physician to perform prostate milking on patients?

Prostate massage or prostate milking is a common treatment used for Chronic prostatitis (chronic pelvic pain syndrome). This treatment helps relieve pain and urological symptoms associated with the pelvic region. Prostate milking is done for the
following reasons:
Patients who have long term urinary issues.
Perineum, testes, and penile pain while ejaculating.
Bladder irritation.
Blood in the semen.

What would cause painful ejaculation and difficulty urinating?
Prostate inflammation, also known as prostatitis, is usually the cause for painful ejaculation. There are four levels of prostatitis. Painful ejaculation is usually noted in level three known as CPPS. Most patients who have CPPS complain of pain during
or just after ejaculation. Patients may experience obstruction and irritating symptoms such as hesitancy, urgency, frequency, and poor, interrupted flow. Painful ejaculation may also affect patients with chronic bacterial prostatitis.

In order to gain a proper diagnosis, one must have a pre-prostatic and a post-prostatic massage test. Microscopic examinations and cultures must be taken and a mid-stream pre-prostatic and post prostatic massage urine specimen must be collected. In some
cases a trans-rectal ultrasound may be performed.
Can CPPS be caused by stress and if so, how can it be treated?
Stress and depression may be associated with CPPS. Treatments include; Anti-inflammatory analgesics such as Motrin and Advil usually help with inflammation and pain.

Prostatic massage, biofeedback and physiotherapy may also be used as treatment. For stress related CPPS, psychological counseling may provide help.
If pain is ongoing, the patient's doctor may provide stronger pain relief.
Can CPPS and a PSA reading of .7 be a risk for cancer?
A PSA reading of .7 is unlikely to cause concern for prostate carcinoma. Furthermore, if prostate cancer were present, the medications wouldn't reduce the PSA readings. However, urinary bladder cancer may be present and should be ruled out. If the
medications fail to improve the symptoms, surgery may be required.

Is a bladder capacity of about 300 ml and pelvic pain related to interstitial cystitis (IC)?
In order to rule out IC, bladder capacity of more than 350ml is required. A bladder capacity of 300 ml and associated pain and frequency may be tested for IC. If the person hasn't had a cystoscopy, one must be scheduled in order to further investigate.
There are other causes that must be excluded such as:
bladder diverticulum
diverticulitis (which can irritate the bladder)
tuberculosis/eosinophilic cystitischronic pelvic pain syndromevulvovestibilitis Chronic pelvic pain syndrome can be very difficult to treat. You may be affected by this condition and want to know how to treat it. Many questions arise regarding the cause of this syndrome. An Expert can answer your questions while providing a better
understanding of chronic pelvic pain syndrome.



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