Chronic Prostatitis and Chronic Pelvic Pain Syndrome

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is characterized by pelvic discomfort, urinary symptoms, and sexual dysfunction in the absence of identifiable bacterial infection.

Pathophysiology involves inflammatory mediators, pelvic floor muscle dysfunction, and psychosocial stress. Diagnosis is largely clinical after exclusion of infection or malignancy.

Treatment may include alpha-blockers, anti-inflammatory agents, pelvic physiotherapy, and psychological support. Long-term symptom control requires patient-centered, multimodal erotic strategies.