CPPS – Chronic Pelvic Pain Syndrome

CPPS – Chronic Pelvic Pain Syndrome is a collection of symptoms characterized by pain in the pelvic area, urinary difficulties, ED, pain in the urethra, with the exclusion of acute bacterial infections of the bladder, prostate, or urethra through examination by a urologist. Previous names for this condition include bacterial chronic prostatitis, prostatodynia.

What causes CPPS?

The exact cause of this condition is unknown and is often multifactorial, associated with chronic prostatitis, internal hemorrhoids, and deep venous congestion in the pelvic area.

DIAGNOSIS CPPS is established by excluding all other acute conditions in the pelvic area (acute inflammation of the prostate, inflammation of the bladder, inflammation of the urethra).


The use of FSWT in the treatment of CPPS represents a non-invasive, painless, and safe method that eliminates almost all symptoms of the disease. The therapeutic protocol involves the application of FSWT to the perineal area through 4 sessions conducted once a week.

Treatment of chronic pelvic pain in Uronova

Our team of doctors, led by urologist specialist Dr. Milan Višekruna, is responsible for treating chronic pelvic pain at the Uronova center.

Contact us for additional information.

Our team of doctors, led by urologist specialist Dr. Milan Višekruna.

Dr. Višekruna is a urology specialist with over 30 years of experience in treating all urological conditions, and for the past two years.

Dr. Višekruna at the Uronova center has successfully applied the FSWT method to treat various urological conditions where this method is indicated, with a high success rate.

As we mentioned, the FSWT method has proven to be very effective in treating chronic pelvic pain, so we advise you to schedule an initial examination and make a detailed therapy plan with Dr. Milan Višekruna.

What are the symptoms of chronic pelvic pain?

While in some stages, chronic pelvic pain can be asymptomatic, it is most often the case that symptoms occur periodically.

After a period that includes discomfort and pain, periods without any symptoms occur, which is why many patients postpone visiting a urologist, thinking that the problem has disappeared on its own.

Symptoms of chronic pelvic pain may include:

  • pain in the genitals and pelvic area
  • urination problems
  • pain during urination
  • pain during or after ejaculation
  • erection problems

Since CPPS causes pain during and after sexual intercourse in men, it can ultimately lead to erectile dysfunction or impaired sexual function in general.

Is it a prostate problem?

Although the old name for chronic pelvic pain (prostatodynia) suggests pain and discomfort in the area around the prostate, the prostate itself is very rarely the cause of CPPS.

It is a common situation for these symptoms to be mistaken for a prostate problem, and therapy is directed at treating it – with muscle-relaxing drugs for the prostate, as well as antibiotics.

If this therapy proves unsuccessful – and in the case of chronic pelvic pain, it will not be effective.

Then it’s necessary to change the approach and, if suspicion has not arisen earlier, this is the moment when many patients are referred for analysis to establish the diagnosis of CPPS.

How is the diagnosis of CPPS established?

During the examination, after reviewing your medical history and taking anamnesis, the doctor may refer you to a physical examination, as well as a rectal examination.

For additional findings, in order to rule out suspicion of other diseases, the doctor may request urine, blood, and sperm analysis.

Also, the doctor may refer you to an ultrasound or transrectal ultrasound biopsy, which will sample tissue for further microscopic analysis.

Other analyzes may also be necessary, such as a CT scan or magnetic resonance imaging to fully assess the pelvic area and abdomen and eliminate suspicion of other systemic diseases that can lead to the same or similar symptoms.

How to live with chronic pelvic pain?

Chronic pain is never easy and can disrupt the quality of life and normal functioning.

Although chronic pelvic pain syndrome is one of the most common urological conditions affecting men, especially younger populations .

CPPS is still not well studied, the exact causes that lead to chronic pain are still unknown, and thus there is less chance of complete healing.

However, with timely diagnosis and adequate therapy, various painful and disturbing symptoms can be alleviated to a large extent, achieving normal patient functioning.

The realization that complete healing doesn’t exist can be disturbing news for many patients, but the fact that a diagnosis has been obtained is a step toward reducing pain and improving the quality of life.

Also, every day, work is being done to develop new innovative therapies that can affect chronic pelvic pain. FSWT therapy is one of them.

Just keep in mind that things are not hopeless.

In our center, we offer a way for you to manage your pain.

The solution exists; come and let's implement it together.