Cleveland Clinic (Dr Shoskes) on Pelvic Floor Spasm and CPPS

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Cleveland Clinic (Dr Shoskes) on Pelvic Floor Spasm and CPPS

Post by webslave »

This is a good summary of our syndrome. Hopefully it will encourage more urologists to assess the pelvic floor as well as the prostate.
How to Diagnose and Manage Pelvic Floor Spasm
Specialized physical therapy can improve outcomes
Jun. 1, 2016 / Urology & Nephrology / Urology

By Daniel Shoskes, MD, MSc, FRCS(C)

The skeletal muscles of the pelvic floor support and surround the bladder, prostate, vagina and rectum. Much as spasm of neck and shoulder muscles can lead to tension headaches, spasm of the pelvic floor can lead to genital pain and lower urinary tract symptoms (LUTS).

Pain can be felt in the penis, testicles, perineum (sensation of “sitting on a golf ball”), lower abdomen and lower back. Women may experience dyspareunia and men may have post-ejaculatory pain and erectile dysfunction. Indeed, more than 50 percent of men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and patients with interstitial cystitis have pelvic floor spasm on exam, which can be an independent driver of their ongoing symptoms.
Continues: https://consultqd.clevelandclinic.org/2 ... oor-spasm/
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