How to effectively manage chronic pelvic pain syndrome in cis-gender men presenting to sexual health services using a holistic biopsychosocial approach

Background

Chronic pelvic pain syndrome (CPPS) in men is an important, but uncommon, multifactorial condition managed in specialist sexual health services (SSHS) which can have a significant impact on a patients’ quality of life.1–3 CPPS is part of the chronic prostatitis/CPPS symptom complex with a prevalence of 8.2% (range 2.2%–9.7%).2^, CPPS is defined as pelvic pain, often associated with urinary symptoms and/or sexual dysfunction, lasting for at least 3 of the previous 6 months and is a diagnosis of exclusion.1 2 Due to the nature of CPPS pain, including dysuria, penile tip, perineal, testicular and ejaculatory pain, as well as other commonly associated symptoms such as urinary frequency, patients often present to SSHS.3 Clinically, it presents as either a complication in men treated for acute non-gonococcal urethritis (NGU) or as persistent pelvic pain in the absence…

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