Chronic pelvic pain syndrome (CPPS) is also called prostatodynia. It is different from other forms prostatitis like acute bacterial prostatitis and chronic bacterial prostatitis. The key symptom of chronic pelvic pain syndrome is pelvic or perineal pain which lasts longer than 3 months but without infection. There are different types of pain including nociceptive pain, inflammatory pain, hyperalgesia, allodynia and spontaneous pain, neuropathic pain and dysfunctional pain. Pain may appear in the back, rectum, testicles or other areas. Some men may suffer from arthralgia and myalgia; some may feel unexplained fatigue; some may face abdominal pain, penis pain, and frequent and urgent urination. For these symptoms, there are no definitive guidelines on how to treat men with chronic pelvic pain syndrome. Doctors will give advice on treatment based on the special condition of the patient. There are several treatment options for men to choose.
The conventional treatment for chronic pelvic pain syndrome is focused on how to get rid of inflammation and infection in the prostate; therefore, the treatment methods which are commonly adopted are antibiotics and anti-inflammatories. Antibiotics such as quinolones and macrolides have anti-inflammatory properties. The anti-inflammatory therapy works well for men with inflammation of the prostate. The adoption of alpha blockers and 5-alpha reductase inhibitors can help improve some symptoms but the effects are not significant. Other drugs such as pentosan polysulfate are also used to treat men with chronic pelvic pain syndrome. Besides, some procedures such as transurethral microwave thermotherapy, transurethral prostate resection are proved to be effective for treating men with chronic pelvic pain syndrome.
Except traditional therapies, there are some other therapies which are employed to treat men with chronic pelvic pain syndrome, including phytotherapy and physical therapies. Phytotherapy is to use plants and plant extracts to cure diseases. It is also called herbal therapy. Recently, Phytotherapy is very popular with men with chronic pelvic pain syndrome. According to the study, some herbs such as quercetin, bee pollen extract and serenoa repens have been shown obvious clinical effects. Some men were cured or improved after treatment for half a year. Physical therapies such as myofascial physical therapy and global therapeutic massage are also reported to be helpful for the improvement of symptoms of chronic pelvic pain syndrome. Biofeedback and pelvic floor retraining are also adopted to promote the condition of pelvic floor muscles.
With the advancement of new technologies, more and more therapies will be developed in the future. Men with chronic pelvic pain syndrome will benefit a lot and greatly improve their quality of life.
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