Beyond Prostate Pain: The Surprising Symptoms of CP/CPPS
Published: May 15, 2024
Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) is often misunderstood. While many associate it with prostate pain, the symptoms can be far more varied and complex.
Contents
The Pain Puzzle
Pain is the primary symptom of CP/CPPS, but it's not always where you might expect. Men often report pain in the perineum (area between scrotum and anus), testicles, lower abdomen, and even the penis. This pain can be sharp or dull, constant or intermittent. Some men experience pain that worsens during or after sexual activity.
Urinary Troubles
Many men with CP/CPPS experience urinary symptoms. These can include frequent urination, a feeling of urgency, or difficulty starting or maintaining urine flow. Some men report a burning sensation when urinating. It's important to note that these symptoms can mimic other conditions, so proper diagnosis is crucial.

Sexual Dysfunction
CP/CPPS can have a significant impact on sexual function. Pain during or after ejaculation is common, affecting up to 58% of men with the condition. Some men experience erectile dysfunction or premature ejaculation. These issues can cause distress and affect relationships, making it important to address them as part of treatment.
Frequently Asked Questions
No, fever is not typically associated with CP/CPPS.
Yes, many men experience symptom flares and periods of relief.
Some men report constipation or bowel discomfort with CP/CPPS.
Recognizing the Signs
Understanding the diverse symptoms of CP/CPPS is crucial for proper diagnosis and effective treatment.
References
- Wagenlehner FM, van Till JW, Magri V, et al. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) symptom evaluation in multinational cohorts of patients with chronic prostatitis/chronic pelvic pain syndrome. Eur Urol 2013; 63:953.
- Trinchieri A, Magri V, Cariani L, et al. Prevalence of sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome. Arch Ital Urol Androl 2007; 79:67.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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