Summary
- What is chronic pelvic pain and why it occurs in men
- Chronic pelvic pain: where it originates
- Symptoms not to be underestimated
- Triggering causes
- What is the indicated treatment for chronic pelvic pain
What is chronic pelvic pain and why it occurs in men
Chronic
pelvic pain
syndrome in
men (chronic non-bacterial prostatitis or prostatodynia) is a
sensation of pain or pressure that is
localized in the pelvic and / or perineal region ,
or in the genitals.
We
speak of chronic pain when the duration exceeds 6 months and there
are no causes that can be explained immediately, for example
structural anomalies, neoplasms, infections. Chronic pelvic pain: where does it originate
Chronic pain is localized in
the
lower abdomen and can originate:
- From
the organs of the genital system
– testicles, spermatic cord, seminal vesicles, prostate. - From the
lower urinary tract
– urethra and bladder. - From
nerve, bone and muscle structures .
The pain varies in
intensity from patient to patient
and in some cases appears to be related to the pelvic organs as
they fill and empty. Sometimes it is the position taken to
cause the pain due to the pressure exerted in certain
points. Symptoms not to be underestimated
Chronic Pelvic Pain
Syndrome ( CPPS)
is determined when there can be a variety of symptoms and
causes. The most common symptoms are:
- Pain in the perineum or the area above the pubis, testicles or penis.
- Pain during ejaculation .
- Obstructive problems in the urinary tract can also arise that cause slow and intermittent flow, or irritations that lead to an increase in the frequency of urination.
- Joint and sexual dysfunction.
Triggering causes
Pelvic
pain syndrome
can affect men of all ages, although it is more common
in middle-aged men. It should be noted that a high percentage
of men suffering from
chronic pelvic pain have
had non-bacterial prostatitis in the past.
The main
causes are anxiety,
stress and depression .
However, it is common opinion that this condition can be
triggered:
- From
viral infections or sexually transmitted diseases. - Trauma
(urethral and perineal). - Inflammation
not linked to infection. - Urination and pelvic floor dysfunction / muscle spasm.
What is the indicated treatment for chronic pelvic pain
The
most suitable treatment is identified on the basis of the
functional and morphological characteristics of the patient. It is possible
to intervene with
local thermotherapy ,
recommending a
light physical activity ,
modifying the diet
and
changing lifestyle, with physiotherapy, with phytotherapic
and pharmacological therapy .
While
these treatments have been shown to be effective in people with
pelvic pain syndrome, none of them alone offer one
complete response to this condition. Not to be underestimated are the
consequences that alter the patient’s life such as the reduction
of self-esteem and problems in the couple’s life
(in the presence of sexual dysfunction).
Chronic
pain is a disabling disorder that impacts
fertility .
The pelvic floor plays a role during
sexual activity because it pumps blood into the penis through
muscle contraction, thus helping to maintain an erection. Contractions
of the pelvic floor also allow the propulsion of
seminal fluid. Pelvic pain and the resulting difficulty a
maintaining an erection can lead to problems with conception.
A medical consultation is useful for diagnosing and treating the disease correctly, identifying the best treatment to reduce symptoms and solve the problem.
