What is the etiology of Chronic Pelvic Pain in Men?
The term chronic pelvic pain syndrome (CPPS) is used to designate unexplained chronic pelvic pain in men. This pain is associated with irritative voiding symptoms and/or pain in the groin, genitalia, or perineum in the absence of pyuria and bacteriuria (no pus cells or bacteria seen on microscopic analysis of the urine). However, excess white blood cells (WBCs) or bacteria seen on Gram stain and culture of expressed prostatic secretions (EPS) may be found.
@arnab Chronic pelvic pain syndrome (CPPS) in the male is actually not a syndrome, in that it is not a discrete, narrowly defined constellation of consistent symptoms and objective findings ultimately traceable to a single, known etiology. Rather, CPPS in the male is a catch-all category of convenience into which physicians arbitrarily group the heterogeneous admixture of cases in male patients that meet the following three criteria:
Patients have a variety of long-standing symptoms, a significant number of which relate to anatomical structures located within an arbitrary radius of the prostate gland (somewhere below the umbilicus and above the mid-thigh)
Physicians can find no objective explanation for the patients’ symptoms
Physicians can offer no satisfactory treatment, let alone a cure, for the patients’ symptoms