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Prostatitis and chronic pelvic pain syndorme
The syndrome of chronic pelvic pain (chronic pelvic pain syndrome, CPPS) is a complex clinical condition characterized by a set of painful symptoms that the patient reports as being localized in the pelvic region, whose causes remain unexplained in the majority of cases. It is a clinical picture often responsible for severe states of discomfort, capable of profoundly deteriorating the quality of life in subjects of both sexes. Chronic pelvic pain that affects male subjects is located in the lowest part of the abdomen, and therefore can originate from the organs of the genital apparatus (prostate, seminal vesicles, testicles, spermatic cords), from the lower urinary tract (bladder and urethra), or also from the nervous, muscular, and bone structures of the pelvis. There are many and diverse types of pain that the patient suffering from this syndrome complains about. First of all, the intensity of the pain is variable, which from a vague sense of more or less continuous discomfort can reach extreme, sometimes intolerable degrees, described by the patient as stabbing pains. In some cases, the painful sensation appears connected to the filling or emptying of the pelvic organs (bladder and rectum), while in other cases it is provoked by certain positions, such as sitting, or by pressure exerted on certain points of the pelvic area, which medical terminology defines as trigger points.
Therefore, chronic pelvic pain syndrome sees pain as the main symptom, but often symptoms of another nature are associated, such as lower urinary tract disorders (increased urinary frequency, burning during urination, urgency), intestinal disorders, and sexual dysfunctions (erectile dysfunction and premature ejaculation). The diagnosis of CPPS requires that the doctor has excluded local pathologies such as infections and tumors, while the search for precise causes often remains fruitless, forcing the doctor to attempt “nonspecific” treatments, as they are not specifically aimed at the causes of the problem.
To date, a targeted therapy has not been identified; certainly, the clinician’s experience in this field is fundamental to establish tailor-made therapies for the patient. The use of shock waves for this pathology seems to give extremely positive and long-lasting results.
Today, there is also the possibility of using electromagnetic waves through a device called DR Arnold. Our center for this technology is at the forefront, being the Italian reference center. The results are extremely encouraging. For this method, ad personam treatments are performed under the guidance of an expert in the pelvic floor.
