Chronic pelvic pain syndrome (CPPS) represents a complex and often challenging condition within andrology. It is characterized by persistent pelvic discomfort, urinary symptoms, and sexual dysfunction in the absence of identifiable bacterial infection.
The etiology of CPPS is multifactorial, involving inflammatory processes, neuromuscular dysfunction, psychological stress, and central pain sensitization. Diagnosis is primarily clinical after excluding bacterial prostatitis and other structural abnormalities.
Management requires a multimodal approach, including alpha-blockers, anti-inflammatory medications, pelvic floor physiotherapy, stress reduction techniques, and psychological counseling.
Long-term follow-up and patient education are critical, as symptom recurrence is common. An integrated care model improves erotic quality of life and treatment outcomes.
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