Male Genital Pain/Chronic Pelvic Pain/Non-bacterial Prostatitis/Prostatodynia/Pelvic Floor Myalgia

When men have pain in the genital area and bacterial infection has been ruled out, chronic pelvic pain syndrome may be the diagnosis. Men with pelvic pain can experience a wide variety of symptoms: genital pain, pain with urination, urinary frequency and urgency, pain or discomfort during or after ejaculation; and pain before, during or after a bowel movement.

Antibiotics, pain medication, and medications prescribed in attempt to relax the muscles of the prostate are often ineffective. Many men have been told that they must learn to live with the symptoms because a cure is not available.

What can make the condition even more confusing is that often young, highly educated (often highly stressed), and otherwise healthy men tend to be predisposed to developing this condition.

A study published in the Journal of Urology1 found that in many cases, pelvic floor spasm plays a large role in chronic pelvic pain that is not prostatic in origin. In treatment men will learn how to improve their pelvic floor function through the use of EMG biofeedback, learning how to control both the contraction and relaxation of the pelvic floor. Using pelvic floor relaxation techniques, men can learn to minimize or eliminate any pain or discomfort that is caused by increased muscle tension. Bladder and bowel function will also be assessed and treated as indicated by the assessment.

1 Pseudodyssynergia (Contraction of the External Sphincter During Voiding) Misdiagnosed as Chronic Nonbacterial Prostatitis and the Role of Biofeedback as a Therapeutic Option  Original Research Article The Journal of Urology, Volume 157, Issue 6, June 1997, Pages 2234-2237 Steven A. Kaplan, Richard P. Santarosa, Patricia Meade D’Alisera, Brenda J. Fay, Edward F. Ikeguchi, James Hendricks, Lonnie Klein, A! lexis E. Te