Understand Chronic Pelvic Pain Syndrome in Men: Causes, Diagnosis, and Insights | Urologist explains 

Dr. Erik - as someone who began dealing with this frustrating and understudied issue about 15 months ago you hit the nail on the head with both your explanatjon and likely causes. This issue is multifaceted and the actual symptoms it causes feed into the stress and worry. I'd recommend you add another video that goes into detail about the symptoms men face with this. It's not something many talk about because of the nature of them, but it would probably make a lot of others feel comfortable knowing the aren't alone.

In my experience, this is mind-body syndrome or TMS where the Nervous system experiences changes due to the brain mis-interpreting normal nerve signals. There is no evidence of inflammation, so I have to disagree here. Stress activates the nervous system to cause tension and activate nerve hypersensitivity which in turn is further learned so that all stress whether it be conscious or subconscious activates this neural response and why it becomes chronic because humans are never stress free. I even had a cystoscopy that showed a normal looking bladder. Antihistamines help literally no one for this supposed inflammation due to mast cell activation that is theorized. In fact, the American urological association doesn't even recommend cystoscopy anymore for the diagnosis of IC as people who had cystoscopy for other reasons such as kidney stones were found to have lesions or defects on their bladders without pelvic pain. 99% of prostate secretions show no evidence of infection. I even had a contrasted MRI on my back and pelvis which showed no issues and only normal deviations in the spine. Many people have back pain as well, but did they physically injure their back or pelvis? Most people did not. Most had either an infection that was cleared or no injury or infection at all with sudden onset. Most people also experience IBS symptoms that also show no findings on colonoscopy such as myself. And many people also experience other unexplained pain and symptoms The vast majority of people that get this have either been in a fight or flight mode for years or had a sudden stressful event. They did an MRI on about 45 women with IC. They found that every one of them exhibited changes in the white matter of their brain which led to the speculation that the brain is simply interpreting the nerve signals incorrectly and creating pain which becomes the new normal. Stress and emotions are what is responsible for this change in the brain over time. Check out Dan Buglio, John Sarno, Howard Shubiner and Michael Hodge. I am not better yet, but I have better days than I used to. This is about fear, not pain. Are you a perfectionist, people-pleaser, do gooder, worry- wort, anxious, guilty, angry, depressed, hopeless? I have these traits too. Pain can be un-learned since the brain is neuro-plastic.

This is the best video and explanation I’ve seen on this. Thank you!

Thank you so much for posting this. I have male pelvic floor dysfunction from Hereditary Spastic Paraplegia. Alot of guys with fibromyalgia also have pelvic floor dysfunction. It isnt infectious for us. For me its all about the muscles and inflamation. I go to pelvic floor physical therapy with a therapist who specializes in male pelvic floor dysfunction.

What's the treatment for chronic pelvic male syndrome. I think for me it's caused by holding urine what's the best cause of action

I am doing dynamic contraction technique, DCT... It has helped me somewhat. The pain has moved from the perinium to the right leg, A lot of hard work to get rid of this horrible affliction.

This is like the only urologist that gets it!

I have been dealing with this a lot for months now.. I have ehlers danlos, anklyosing spondylitis, and fused l4 to s1. I just had an mri and have 8mm lesion on my right ilium that was t1 and t2 hypointense STIR and degenerstion atrpohy. My l3 and l4 of course some stenosis after 10 years of thr fusion. Seeing a pelvic floor specialist and stretches def help😊

Thanks very helpful

I watched some vedio they talk about injections antibiotics into prostate, what can you say about that ? No bacteria prostate it's a big case

Can a venogram help diagnose this in men as well?

Dr do you have any idea about this. I have pain since 4,5 months. Mostly come when I'm sitting. When I'm sitting i feel some pain in my lower right back area. My groing. Right lower abdomen. In my right buttock. Some times along my leg and arms. Also i always pain right testicle pain. Actually between may balls and anus. did KUB ultrasound scan, testicle scan. Everything normal. No kidney stones, no UTI etc. Only found some fatty liver. My GI doctor giving medication to that. But i feel that's not the reason for this pain. I'm not getting hard pain. But some mild one most of the day. When stting more pain is getting more. Not sure what to do 😢.

I'm fully cured from this after having it for 7 years 😊

Good explanation, but what is the treatment plan for those that have autoimmune Prostatitis? My urologists are generally clueless. The fact I have chronic eye inflammation which suddenly came on just 1 week after experiencing burning in the penis makes me truly believe I have some autoimmune condition/problem. For background I noticed burning instantly during oral sex which has stayed with me for 12 months and counting😢 If you could do a video on this or just provide any help in general I would greatly appreciate it.

Year and a half of drs. And no cure or treatment. Nothing found. This is a fun daily pain cool 👍

corona vaccine is the main reason