Which therapies used to treat chronic pelvic pain syndrome (CPPS) may provide symptom relief in chronic bacterial prostatitis (CBP)?

Updated: Jan 15, 2019
  • Author: Samantha D Kraemer, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

Other therapies used to treat CPPS may provide symptomatic improvement for CBP but have not been studied extensively in the CBP population. These other therapies include the following [37, 1, 26, 29, 70]

  • Physiotherapy with myofascial release and paradoxical relaxation
  • Biofeedback, transcutaneous electrical nerve stimulation (TENS), acupuncture
  • Medications for neuropathic pain (gabapentinoids, antidepressants)
  • Psychotherapy
  • Neuromodulation procedures (spinal cord or sacral nerve root stimulation)
  • Bladder retraining
  • Therapeutic ejaculation

A meta-analysis concluded that viewing chronic prostatitis/CPPS as a psycho-neuromuscular disorder driven by protective pelvic floor guarding and psychosocial stress, and treating with techniques such as myofascial trigger point release, biofeedback, and cognitive-behavioral therapy, can result in clinically significant improvement in symptoms. [69]


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