Male pelvic pain is a broad term used to describe any pain or discomfort in the pelvic region including but not limited to the penis, scrotum, rectum, perineum and lower tummy and groin areas. For the purpose of this presentation we will primarily be referring to NIH pelvic pain category III, also known as Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS), a condition characterised by chronic pelvic pain lasting for at least 3 to 6 months, without evidence of a bacterial infection.
In men under 45, pelvic pain is the number one reason for referral to a urologist with around 8-10% of men experiencing some form of it at any one time. Given the regions involved, this can be a highly distressing experience for men and their partners.
Pelvic pain continues to be a sensitive topic not commonly discussed in the media or amongst groups of men and continues to be both underreported and undertreated. Younger men don’t always recognise that the pain they have been experiencing isn’t normal until they are much older. Men are also hesitant to discuss these issues with their GP until they either don’t resolve or continue to worsen.
A significant number of pelvic pain cases have a musculoskeletal component to the pain. This can be from nerve irritation, joint stiffness, loss of mobility or increased tension in the pelvic floor muscles. These cases can benefit greatly from pelvic health physiotherapists but often also need support from GPs, psychologists and sex therapists. The number of supports required is typically associated with the length of time symptoms have been present, with studies showing that the time from symptom onset to seeing a physiotherapist can range from 6-18 months.
Male pelvic pain often impacts intimacy and relationships and can have significant negative impacts on a person's mental health.
In this presentation, Men’s Health Physiotherapist, Thomas Harris, will discuss some common pelvic pain presentations, potential causes, treatment options as well as who to seek help from. Deidentified patient stories will be used to highlight some of the negative consequences of men either not seeking help early or from being bounced around the medical system.