Understand Chronic Pelvic Pain Syndrome in Men: Causes, Diagnosis, and Insights | Urologist explains

In this informative video, Dr. Eric explores Chronic Pelvic Pain Syndrome (CPPS) in men, discussing its prevalence, potential causes, and its complex relationship with inflammation and autoimmunity. He sheds light on the intricate factors contributing to CPPS, emphasizing the role of inflammation, nerve activation, and psychological stress, providing valuable insights for those seeking to understand this condition.
Dr. Eric Tygenhof is a board-certified expert urologist specializing in general urology, with a particular emphasis in stone disease and robotic surgery. He practices in Fullerton, California as a partner at Southland Urology. He is also a Fellow of the American College of Surgeons.
Website: erictygenhofmd.com
Request an appointment: intakeq.com/new/vmIqBV

[@scottmcewan]

This is the best video and explanation I’ve seen on this. Thank you!

[@ionizer7566]

Dr. Erik - as someone who began dealing with this frustrating and understudied issue about 15 months ago you hit the nail on the head with both your explanatjon and likely causes. This issue is multifaceted and the actual symptoms it causes feed into the stress and worry. I'd recommend you add another video that goes into detail about the symptoms men face with this. It's not something many talk about because of the nature of them, but it would probably make a lot of others feel comfortable knowing the aren't alone.

[@morgandelaware7269]

Thanks very helpful

[@Holger101]

I am doing dynamic contraction technique, DCT... It has helped me somewhat. The pain has moved from the perinium to the right leg, A lot of hard work to get rid of this horrible affliction.

[@Ibuddy66]

Thank you so much for posting this. I have male pelvic floor dysfunction from Hereditary Spastic Paraplegia. Alot of guys with fibromyalgia also have pelvic floor dysfunction. It isnt infectious for us. For me its all about the muscles and inflamation. I go to pelvic floor physical therapy with a therapist who specializes in male pelvic floor dysfunction.

[@morgandelaware7269]

How's therapy working I just got my therapy script today

[@AMVmushroom]

Year and a half of drs. And no cure or treatment. Nothing found. This is a fun daily pain cool 👍

[@jebjebson8743]

Probably stress is the root cause. Seems crazy, but it was the cause of mine.

[@ramondearmas340]

This is like the only urologist that gets it!

[@mwanikijoseph6080]

What's the treatment for chronic pelvic male syndrome. I think for me it's caused by holding urine what's the best cause of action

[@othman9534]

I watched some vedio they talk about injections antibiotics into prostate, what can you say about that ? No bacteria prostate it's a big case

[@DannyPacheco-to4fi]

Can a venogram help diagnose this in men as well?

[@pradeepchathuranga9222]

Dr do you have any idea about this. I have pain since 4,5 months. Mostly come when I'm sitting. When I'm sitting i feel some pain in my lower right back area. My groing. Right lower abdomen. In my right buttock. Some times along my leg and arms. Also i always pain right testicle pain. Actually between may balls and anus. did KUB ultrasound scan, testicle scan. Everything normal. No kidney stones, no UTI etc. Only found some fatty liver. My GI doctor giving medication to that. But i feel that's not the reason for this pain. I'm not getting hard pain. But some mild one most of the day. When stting more pain is getting more. Not sure what to do 😢.

[@MrSilence99]

Probably nerves getting pinched in your back. That can cause pain in random areas like that.

[@Ibuddy66]

I have this. It turns out it is male pelvic floor dysfunction. It's not infectious or caused by infection in this regard. You may also have fibromyalgia.

[@pradeepchathuranga9222]

@@MrSilence99 i think that also. Going for neurologist.

[@pradeepchathuranga9222]

@@Ibuddy66 yeah. Let's see. No solution yet.

[@Ranjith-ni9fn]

u have any spinel injury or back bone injury in your life

[@JimLim170]

I'm fully cured from this after having it for 7 years 😊

[@Ranjith-ni9fn]

how bro please help suffering 12 years

[@JimLim170]

@@Ranjith-ni9fn Took prednisone for 1 month

[@Moonless6491]

In my experience, this is mind-body syndrome or TMS where the Nervous system experiences changes due to the brain mis-interpreting normal nerve signals. There is no evidence of inflammation, so I have to disagree here. Stress activates the nervous system to cause tension and activate nerve hypersensitivity which in turn is further learned so that all stress whether it be conscious or subconscious activates this neural response and why it becomes chronic because humans are never stress free. I even had a cystoscopy that showed a normal looking bladder. Antihistamines help literally no one for this supposed inflammation due to mast cell activation that is theorized. In fact, the American urological association doesn't even recommend cystoscopy anymore for the diagnosis of IC as people who had cystoscopy for other reasons such as kidney stones were found to have lesions or defects on their bladders without pelvic pain. 99% of prostate secretions show no evidence of infection. I even had a contrasted MRI on my back and pelvis which showed no issues and only normal deviations in the spine. Many people have back pain as well, but did they physically injure their back or pelvis? Most people did not. Most had either an infection that was cleared or no injury or infection at all with sudden onset. Most people also experience IBS symptoms that also show no findings on colonoscopy such as myself. And many people also experience other unexplained pain and symptoms The vast majority of people that get this have either been in a fight or flight mode for years or had a sudden stressful event. They did an MRI on about 45 women with IC. They found that every one of them exhibited changes in the white matter of their brain which led to the speculation that the brain is simply interpreting the nerve signals incorrectly and creating pain which becomes the new normal. Stress and emotions are what is responsible for this change in the brain over time. Check out Dan Buglio, John Sarno, Howard Shubiner and Michael Hodge. I am not better yet, but I have better days than I used to. This is about fear, not pain. Are you a perfectionist, people-pleaser, do gooder, worry- wort, anxious, guilty, angry, depressed, hopeless? I have these traits too. Pain can be un-learned since the brain is neuro-plastic.

[@trashmancesar9891]

Wow I ne thought about that

[@jasonq111]

Bingo. Great post. For me, I have CPP for 28 years and when I take adderall the pain disappears. Why? Must have to do w the CNS and fight or flight. I do have some inflammation but doctors seem to think it’s not a big deal. If that’s the case, why is it so painful? The brain?

[@Moonless6491]

@@jasonq111 Well, the Mind releasing stress hormones over time causes inflammation and damage in the body (why some people get stress hives/ulcers). So, inflammation isn't a special case thing. Essentially, the body compensates with stress by shutting down digestions, increasing heart rate and de-regulating the immune system. Over time, this new way of being becomes wired as the new way. A lot of inflammation takes place at the micro level and doesn't necessarily become a visible thing. But, it doesn't change the fact that the pain is real. I got wasted this weekend for the first time and my back pain that was severe at the time was gone. I could dance around and act like an idiot cause the nervous system interpretation of things was all jacked up. ( I have no plans to be wasted again)

[@jasonq111]

@@Moonless6491 how do u treat it? Specifically. I’ve suffered CPP for 28 years. It does seem like a CNS/wiring thing……thx!

[@Moonless6491]

@@jasonq111 Well, there isn't a quick fix for most people, including myself. It's more of a lifestyle change over time. Not in the sense of Finance bro, or Fitness bro type change, but more of an awareness of the present and a reduction of the alarm system in the brain. Basically, safety. In a sense, we have been living in fight or flight for most of our life where life itself is perceived as a threat and the mind is constantly on the alert. Basically, the reduction of stimulants and un-needed stress in life. Things we refuse to let go of like expectations and pressure on ourself. Learning to be comfortable in our own skin. Content. It takes time for the brain to finally calm down. It took a life time to get here, so it's gonna take an open amount of time for each of us. I'm still in the journey with good and bad days with slow improvement. You can't really fix or do your way out of this and it's counter intuitive. Things like stopping to meditate and feeling our emotions without fighting them. Ultimately our internal emotions being suppressed over time creates maladaptive coping mechanisms and neural pathways form as the brain is seeking to help us survive in an environment we constantly see as a threat. Resources to look up would be Michael Hodge with Transform Men's Pelvic health. Dan Buglio with Pain free you. The Mindful Gardener and other TMS/Mind Body coaches. The founder of this concept was a doctor named Dr. John Sarno who realized the role of emotions and the nervous system in chronic pain. Howard Shubiner, Howard Gordon and other Doctors still carry on his work. Dr. Sarno wrote several books years ago of his understanding. There is even a website that is free called TMS wiki with thousands of people sharing their experiences. The theory and approach has changed some over time, but yeah....

[@lukeqq8830]

Good explanation, but what is the treatment plan for those that have autoimmune Prostatitis? My urologists are generally clueless. The fact I have chronic eye inflammation which suddenly came on just 1 week after experiencing burning in the penis makes me truly believe I have some autoimmune condition/problem. For background I noticed burning instantly during oral sex which has stayed with me for 12 months and counting😢 If you could do a video on this or just provide any help in general I would greatly appreciate it.

[@waltercozzi188]

Make sure you get checked for an STD

[@user-nv3kr8bw2o]

corona vaccine is the main reason

[@ramondearmas340]

Had it before any vaccines, mine was from a back injury and the pandemic.