Prostatitis / Chronic Pelvic Pain Syndrome / BPH

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    Chronic prostatitis / Chronic Pelvic Pain Syndrome (CP / CPPS)

    The most recent scientific research claims that chronic non-bacterial prostatitis has unknown etiology (the cause is not known). This condition is most often classified together with chronic pelvic pain syndrome (CPPS).

    Symptoms include pain and discomfort in the pelvic floor/prostate region (CPPS - chronic pelvic pain syndrome), pain worse after ejaculation, some low back pain, frequent urination, and an unfinished feeling after urination. There is usually no history of urinary tract infections (as in bacterial prostatitis), no redness, and patients do not obtain symptomatic relief with antibiotics.

    There also seems to be more of a feeling of ‘cold’ (rather than ‘heat’ which would be associated with the infectious bacterial prostatitis). It should also be noted that emotional problems such as depression and erectile dysfunction more often than not accompany this chronic condition and should be properly diagnosed and treated.

    Benign Prostatic Hyperplasia (BPH)

    This condition affects about half of men in their 60s and up to 90 percent of men in their 70s and 80s. The presence or absence of prostate gland enlargement is not related to the development of prostate cancer. Note: if you are trying to conceive, the medications given for this type of issue are typically antiandrogens, which adversely affect sperm production & libido.

    Symptoms include weak urine stream, difficulty starting urination, stopping and starting, dribbling at the end of urination (more in your underwear then usual), frequent & or urgent need to urinate, increased frequency at night, feel like not completely emptying bladder.


    Dr. Spence Pentland focuses on the treatment of men's & women's reproductive health in Vancouver. To learn more about Spence click here. To book an initial in-person consultation click here. If you are unsure about how Spence may be able to help your condition, take advantage of his free 15 minute Q&A phone conversations by calling the clinic now to check his availabilities at 778.228.4700

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