Chronic Prostatitis/Pelvic Pain Syndrome
Chronic prostatitis/pelvic pain syndrome is a potentially debilitating condition diagnosed in the presence of chronic pelvic pain and lower urinary tract symptoms.
30% of all men have such symptoms at some time in their life and 8% of patients referred to urologists are diagnosed with chronic prostatitis/chronic pelvic pain syndrome.
The cause of chronic prostatitis/chronic pelvic pain syndrome is not clear although inflammatory and infective causes have been closely studied. Non-infective inflammatory causes which have been postulated include intra-prostatic reflux of urine and sperm which are immunogenic and which set up inflammatory responses. Links to psychosomatic illness secondary to stress, anxiety and depression may be found in some men.
Only 5%-10% of men are diagnosed with an infective cause by urine testing but most patients may be treated empirically with antibiotics.