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Prostatitis & pelvic pain

Prostatitis et syndroma dolorum pelvis chronicum · Zánět prostaty a pánevní bolest

male only

What it is

Acute bacterial infection, or a chronic pelvic pain syndrome that is usually not infection at all.

Symptoms & signs

  • Pelvic or perineal pain
  • painful urination
  • urgency
  • painful ejaculation
  • fever in acute cases

🚩 Get help if…

  • call 112 / 911 now Unable to pass urine with a painful full bladder
  • call 112 / 911 now High fever, shivering or confusion with pain on passing urine
  • see a doctor soon Fever with pain between the legs or in the lower back
  • see a doctor soon Blood in the urine or semen

Where it strikes

Medical treatment

  • Antibiotics for proven infection (4–6 weeks)
  • alpha blockers
  • NSAIDs
  • pelvic floor physiotherapy
  • amitriptyline for chronic pain

Natural & lifestyle

  • Pelvic floor relaxation
  • warm baths
  • reduce caffeine and alcohol
  • regular exercise
  • stress work

Emerging & experimental

  • Phenotype-guided (UPOINT) and trigger-point therapy
  • acupuncture trials

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Acupuncture — a large trial (2021) reduced chronic prostatitis symptoms trials support
  • Quercetin — a small trial helped chronic pelvic pain mixed evidence
  • Bee-pollen extract (cernilton) — trials show benefit mixed evidence

ICD codes