CPPS is a type of prostatitis, and is also known as Chronic non-bacterial prostatitis. 

The prostate gland sits below the urinary bladder in men. It is responsible for producing the fluid (semen) that mixes with our sperm, and allows our sperm to swim in. 

Examples of symptoms of CPPS:

  • Pain in the area between the scrotum and rectum (perineum) 
  • Pain in the abdomen, groin or lower back 
  • Pain in the penis or testicles 
  • Painful ejaculation 
  • Urinary symptoms such as painful urination, increased urinary frequency

 

The cause for CPPS is still not fully understood. There are many proposed theory to CPPS, for example pelvic floor dysfunction, or even nerves, stress and hormones. 

Management of CPPS focus on physiotherapy, prostate massages, anti-inflammatory medications, sitz bath, or even a trial of antibiotics. 

Grade 1

Penis is larger but not hard

Grade 2

Penis is hard but not enough for penetration

Grade 3

Penis is hard enough for penetration but not completely hard

Grade 4

Penis is completely hard
Medication

Oral medications is a method to reverse erectile dysfunction by enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis.

Although they work in similar ways, each oral medication has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. Your doctor will consider these factors as well as other conditions you have and possible interactions with other medications you take.

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Sildenafil (Viagra)

This medication is most effective when taken on an empty stomach one hour before sex. It's effective for four to five hours or more if you have mild to moderate erectile dysfunction.

Duration of effectiveness/half-life: 4 hours Dosage: 25mg, 50mg, 100mg Common side effects: Hot flushing, headache, abnormal vision (changes in colour vision), muscle pain, uncomfortable stomach
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Tadalafil (Cialis)

Duration of effectiveness/half-life: 17.5 hours Dosage: 2.5mg, 5mg, 10mg, 20mg Common side effects: Hot flushing, headache, stomach upset, back pain, stuffy nose, dizziness

Duration of effectiveness/half-life:
17.5 hours

Dosage:
2.5mg, 5mg, 10mg, 20mg

Common side effects:
Hot flushing, headache, stomach upset, back pain, stuffy nose, dizziness

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Vardenafil (Levitra)

Duration of effectiveness/half-life: 4.5 hours Dosage: 2.5mg, 5mg, 10mg, 20mg Common side effects: Hot flushing, headache, stomach upset, back pain, stuffy nose, dizzines, flu-like symptoms

Duration of effectiveness/half-life:
4.5 hours

Dosage:
2.5mg, 5mg, 10mg, 20mg

Common side effects:
Hot flushing, headache, stomach upset, back pain, stuffy nose, dizzines, flu-like symptoms

Treatment

ESWT has recently been used to treat CPPS with some promising results. Some studies have quoted and cited the effects of using ESWT for patients with CPPS, improving and alleviating pain, and increasing quality of life of the participants.

Men's Health

ESWT

Principle of therapy: 

Using mechanical shockwave to cause local microvascularization, reduce residual muscle tension, and reduce inflammation. 

 

Duration of therapy: 

16-17minutes per session.

 

Frequency of therapy: 

Recommended frequency of therapy would be 2-3 times per week, however flexible.  

 

Pre-procedure preparation: 

None.

 

Side effects: 

Mild tingling sensation during procedure. Zero downtime post procedure.

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