Treatment Options for Chronic Pelvic Pain Syndrome

May 2nd, 2023 by

Treatment Options for Chronic Pelvic Pain Syndrome

Chronic Pelvic Pain Syndrome (CPPS) is a condition that causes ongoing pain in the lower pelvic region of men, including the genitals, perineum, and rectum. It can affect their quality of life, including sexual health. In this article, we will explore the different treatments for CPPS, including both surgical and non-surgical options, and how they may impact male sexual health.

Understanding Chronic Pelvic Pain Syndrome (CPPS):

CPPS is a complex condition with no clear cause, but it is believed to result from a mix of physical, psychological, and social factors. There are two main subtypes: inflammatory (caused by a bacterial infection) and non-inflammatory (not caused by infection but related to muscle tension, nerve damage, and psychological factors). Symptoms of CPPS include chronic pelvic pain, urinary problems, and sexual dysfunction.

Surgical Treatment Options:

Surgical treatments are considered when other methods fail to provide relief and symptoms are severe. Some surgical options for CPPS include:

Transurethral Resection of the Prostate (TURP):

TURP is a procedure where part of the prostate is removed through the urethra. While it can help with urinary symptoms, its effectiveness in reducing pelvic pain and improving sexual function is uncertain.


Prostatectomy involves removing the entire prostate gland. While it may help with urinary symptoms, it can lead to sexual side effects like erectile dysfunction, decreased libido, and retrograde ejaculation.


Neuromodulation uses electrical or magnetic stimulation to adjust nerve activity in the pelvic region. It may help with pelvic pain, but its impact on sexual function is not fully understood.

Trigger Point Release:

This procedure involves injecting anesthetic and/or corticosteroids into muscle trigger points in the pelvic region. While it can alleviate pelvic discomfort, its effect on sexual performance is unclear.

Impact on Male Sexual Health:

Surgical interventions can significantly impact male sexual health. TURP and prostatectomy can lead to sexual side effects such as erectile dysfunction, decreased libido, and retrograde ejaculation. On the other hand, neuromodulation and Trigger point release may have a positive impact on sexual function, though more research is needed.

Non-Surgical Treatment Options for Non-Bacterial CPPS:

Non-invasive treatments are also available for non-bacterial CPPS:

Physical Therapy:

Physical therapy includes exercises to strengthen the pelvic floor muscles and manual therapy to relieve muscle tension.

Shockwave Therapy:

Shockwave therapy is a non-surgical option that promotes blood flow and healing in the affected area, reducing pain and inflammation. It can also improve muscular function and reduce muscle tension, helping with CPPS symptoms.

EMTT Therapy:

Non-invasive extracorporeal magnetotransduction therapy has shown promising results in improving men’s sexual health, including non-bacterial CPPS.

Tesla Chair:

The Tesla Chair, which uses functional magnetic stimulation, can be an effective treatment option for non-bacterial CPPS.

Lifestyle Changes:

Stress reduction techniques, dietary changes, and exercise habits can also be helpful in managing CPPS symptoms.


Chronic Pelvic Pain Syndrome is a challenging condition that can significantly impact male sexual health. Surgical interventions may have sexual side effects, while non-surgical options like shockwave therapy, EMTT, and Tesla Chair offer potential benefits for non-bacterial CPPS. It’s essential for men with CPPS to work closely with their healthcare provider to develop a personalized treatment plan that addresses their unique symptoms and concerns. For those seeking non-invasive treatments, Shockwave Clinics Ltd is a reputable clinic that offers the best shockwave therapy in the UK, along with other advanced treatments like EMTT and Tesla Chair.