A feeling of pressure in the pelvis, a constant urge to urinate, plus pain in the genital area – such complaints can occur in chronic pelvic-pain syndrome. And even though the cause is often harmless, the men affected suffer quite a lot. It is a particular concern of the alta uro medical team to diagnose such complaints in-depth and help the men affected quickly and effectively.
Chronic pelvic pain is defined by complaints that existed for more than 3 months in the last six months. The cause of chronic pelvic pain is often unclear. Various causes such as infections, an impaired bladder control of of the pelvic-floor muscles, chronic non-bacterial bladder inflammations (so-called interstitial cystitis), or pain caused by a permanent nerve irritation.
To diagnose chronic pelvic pain, various tests are performed. These include, in addition to an in-depth interview, above all specially developed diagnostic questionnaires. A palpation of the prostate, a urine test, blood tests, and an ultrasound examination of the bladder and the prostate plus, possibly, additional diagnostic procedures such as a cystoscopy will also be necessary.
The therapy of a chronic pelvic pain is based on the underlying cause. If a bacterial cause is suspected, a single antibiotic therapy of several weeks’ duration is indicated. If it is caused by a so-called interstitial cystitis, the protective layer of the bladder is rebuilt with specially developed medication. Besides, depending on the severity of the symptoms, the therapy will consist of anti-inflammatory medication, medication to improve urination, pain-relieving medication, medication reducing the urge to urinate, medication to relax the muscles, physiotherapy, herbal preparations, or even psychotherapy.