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Chronic Prostatitis / Chronic Pelvic Pain Syndrome

Multidisciplinary diagnostic and therapeutic approach to the most common form of prostate disease.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Chronic Prostatitis / Chronic Pelvic Pain Syndrome?

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS; NIH Category III) is the most common form of prostate disease, classified as inflammatory or non-inflammatory based on culture-negative pelvic pain lasting more than 3 months. It accounts for 90-95% of prostatitis cases in men.

The pathophysiology is not fully understood; pelvic floor muscle dysfunction, neuropathic pain, immune dysregulation, and psychological factors all play roles. Pain, urinary symptoms, and quality of life are evaluated using the NIH-CPSI (Chronic Prostatitis Symptom Index).

Treatment generally requires a multidisciplinary approach; alpha blockers, antibiotic courses, pelvic floor physiotherapy, and psychological support may be combined.

Symptoms

Perineal, suprapubic, testicular, or groin pain lasting more than 3 months
Pain during or after ejaculation
Frequency, nocturia, and burning during urination
Sensation of incomplete emptying
Erectile dysfunction and decreased libido
Anxiety, depression, and reduced quality of life

Risk Factors

Men aged 20-50 years
Psychological stress and anxiety
Pelvic trauma or prolonged cycling/motorcycling
Previous urinary infection
Sedentary lifestyle and prolonged sitting
Comorbidity with irritable bowel syndrome

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Perineal or pelvic pain lasting more than 3 months
  • Pain accompanied by urinary symptoms
  • Pelvic pain accompanied by sexual dysfunction
  • Pain affecting quality of life and ability to work
  • Worsening symptoms despite treatment

Treatment Methods

01
Alpha-1 blocker (tamsulosin, alfuzosin): for lower urinary tract symptoms
02
Antibiotic (fluoroquinolone for 4-6 weeks): for inflammatory subtype or first episode
03
NSAIDs and analgesics: for symptom control
04
Pelvic floor physiotherapy: for muscle dysfunction component
05
5-phosphodiesterase inhibitor: when associated with erectile dysfunction
06
Psychological support and cognitive behavioral therapy: for psychological component

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.