Chronic Prostatitis

Condition: Chronic Prostatitis / Chronic Pelvic Pain Syndrome

Section Author: Jon Rees

Review Date: Sept 2017


Chronic prostatitis is a common condition with a huge impact on the quality of life of many men. However, the condition is poorly understood, under-diagnosed and difficult to treat. As a result, there is a lack of good evidence and guidance, for primary care in particular, on how to recognise the condition and carry out effective management in the community. As a result, the ‘Prostatitis Expert Reference Group’ (PERG) was convened in 2013 by the charity Prostate Cancer UK, to undertake a review of the literature and produce a guideline suitable particularly for non-specialist use. Members of the PERG were selected from a network of clinical experts in the urology field across a broad range of disciplines, including primary care, urology (medical & specialist nursing), pain, physiotherapy and psychology, from across England.

Healthcare professional Links

Full guideline and quick reference guide available on Prostate Cancer UK website: http://prostatecanceruk.org/prostatitisguideline

PERG guidelines for the treatment of CPPS and CP http://www.thepelvicpainclinic.co.uk/6-exercises-relieve-male-pelvic-pain/

Patient information including excellent downloadable information leaflet – Chronic Prostatitis – Prostate Cancer UK 2015 – http://prostatecanceruk.org/prostate-information/other-prostate-problems/prostatitis

‘Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis / chronic pelvic pain syndrome’. Rees J, Doble A, Abrahams M, Cooper A. BJU International 2015; 116 (4): 509-525. (free open access – need to add link here)

‘Diagnosis & Treatment of Chronic Prostatitis / Chronic Pelvic Pain Syndrome’. Rees J, Doble A. Trends in Urology & Men’s Health 2015; 6 (1): 12-17.

‘Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline’. Rees J, Cooper A. Guidelines in Practice 2014, http://www.guidelinesinpractice.co.uk/dec_14_Rees_prostatitis

European Association of Urology: Chronic Pelvic Pain guidelines: http://www.europeanurology.com/article/S0302-2838(04)00397-5/fulltext/eau-guidelines-on-chronic-pelvic-pain

Prostate Cancer UK online Course: Recognising and managing chronic prostatitis in primary care

Information for patients

NHS Choices http://www.nhs.uk/conditions/prostatitis/pages/introduction.aspx

Prostate Cancer UK http://prostatecanceruk.org/prostate-information/other-prostate-problems/prostatitis


Algorithm for primary care management of Chronic Prostatitis / Chronic Pelvic Pain Syndrome

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