Chronic Pelvic Pain Syndrome in Men

Chronic pelvic pain syndrome (CPPS) is characterized by persistent pelvic discomfort without identifiable infection. It represents a subtype of chronic prostatitis and significantly affects male sexual function.

Symptoms may include perineal pain, urinary urgency, painful ejaculation, and erectile difficulties. The pathophysiology remains complex, involving neuromuscular dysfunction, inflammation, and psychological stress.

Management requires multimodal therapy, including alpha-blockers, anti-inflammatory agents, physiotherapy, and cognitive erotic behavioral therapy. Symptom-directed treatment improves patient outcomes.

Recognition of CPPS underscores the importance of interdisciplinary collaboration in andrology.

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