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CHRONIC PELVIC PAIN SYNDROME (CPPS)/ CHRONIC PROSTATITIS (CP)
Chronic Pelvic Pain Syndrome (CPPS) & Chronic Prostatitis Treatment in Johor Bahru
Comprehensive Men's Pelvic Pain Care by Dr Gan at Southern Alphamen Clinic
Persistent Pelvic Pain or Prostate Discomfort?
Persistent pain in the pelvic region, discomfort around the prostate or ongoing urinary symptoms can significantly affect your quality of life. Many men experience these symptoms for months before seeking medical attention, often believing they have a recurrent urinary tract infection when the cause may be Chronic Prostatitis or Chronic Pelvic Pain Syndrome (CPPS).
At Southern Alphamen Clinic, Dr Gan provides comprehensive assessment and personalised treatment for Chronic Prostatitis (CP) and Chronic Pelvic Pain Syndrome (CPPS). Treatment focuses on identifying contributing factors, relieving symptoms and improving long-term quality of life.
For selected patients, we also offer Low-Intensity Extracorporeal Shockwave Therapy (Li-ESWT) using the Dornier Aries 2 SmartFocus system as part of an evidence-based treatment approach.
Patients from Johor Bahru and Singapore are welcome.
What Is Chronic Prostatitis / Chronic Pelvic Pain Syndrome?
Chronic Prostatitis / Chronic Pelvic Pain Syndrome (CP/CPPS) is a long-term condition characterised by pelvic pain lasting at least three months, often accompanied by urinary or sexual symptoms, without evidence of an active bacterial infection.
It is the most common form of prostatitis, accounting for the majority of prostatitis diagnoses.
Although the exact cause is not fully understood, contributing factors may include:
- Chronic inflammation
- Pelvic floor muscle dysfunction
- Nerve hypersensitivity
- Previous prostate infection
- Psychological stress
- Immune system changes
CP/CPPS is not considered a sexually transmitted infection and is not contagious.
Common Symptoms of Chronic Prostatitis & CPPS
Symptoms of Chronic Prostatitis / Chronic Pelvic Pain Syndrome vary between individuals. Some men experience persistent discomfort, while others may have symptoms that come and go over time.
You should consider medical assessment if you experience:
- Pain between the scrotum and anus (perineal pain)
- Pelvic pain or discomfort
- Lower abdominal pain
- Groin pain
- Pain at the tip of the penis
- Pain during or after ejaculation
- Painful ejaculation
- Frequent urination
- Urinary urgency
- Burning sensation during urination
- Difficulty passing urine
- Reduced sexual function
- Erectile dysfunction in some patients
Symptoms may fluctuate over time, with periods of improvement and flare-ups. Persistent pelvic discomfort or urinary symptoms should not be ignored, as other conditions may present with similar symptoms.
Diagnosis of Chronic Prostatitis / CPPS
Because CP/CPPS shares symptoms with several other conditions, a careful medical evaluation is important to identify the underlying cause and exclude other possible conditions.
Your assessment may include:
Review of your symptoms, duration of discomfort, previous infections, medical conditions and factors that may contribute to pelvic pain.
Evaluation of pain location, severity, urinary symptoms and sexual function to better understand your condition.
Assessment to identify possible physical causes contributing to pelvic discomfort and urinary symptoms.
Urine analysis and urine culture may be performed to identify urinary infections or other abnormalities.
Blood tests, STI screening, prostate assessment, ultrasound or other investigations may be recommended when clinically indicated.
The goal of assessment is to exclude infections, enlarged prostate, urinary tract disorders and other conditions that may cause similar symptoms before deciding on the most appropriate treatment approach.
Chronic Prostatitis & CPPS Treatment Options
Treatment for Chronic Prostatitis / Chronic Pelvic Pain Syndrome depends on your symptoms, examination findings and the underlying factors contributing to your condition.
At Southern Alphamen Clinic, Dr Gan develops a personalised treatment plan focusing on symptom relief, improving quality of life and addressing contributing factors.
Lifestyle Modification
Lifestyle changes may help reduce symptom flare-ups and improve overall pelvic health.
Recommendations may include reducing prolonged sitting, limiting caffeine and alcohol intake, staying physically active, managing stress and improving sleep quality.
Medication
Depending on your symptoms and clinical assessment, medications may be recommended to help manage discomfort and urinary symptoms.
Treatment options may include anti-inflammatory medication, alpha-blockers, antibiotics when bacterial infection is suspected or confirmed, and medication for chronic pain when appropriate.
Low-Intensity Shockwave Therapy (Li-ESWT)
Southern Alphamen Clinic offers Low-Intensity Extracorporeal Shockwave Therapy (Li-ESWT) using the Dornier Aries 2 SmartFocus system for selected patients.
Clinical studies suggest that Li-ESWT may help reduce pelvic pain, improve urinary symptoms and enhance quality of life in suitable patients with CP/CPPS.
Pelvic Floor Rehabilitation
Some patients may benefit from pelvic floor physiotherapy, especially when muscle tension or pelvic floor dysfunction contributes to their symptoms.
Treatment focuses on improving muscle relaxation, coordination and reducing discomfort.
Combination Therapy
Many patients achieve better symptom control through a combination of treatments tailored to their individual condition.
Your treatment plan may combine lifestyle modification, medication, supportive therapies and other appropriate interventions.
Low-Intensity Shockwave Therapy (Li-ESWT) for CPPS
Southern Alphamen Clinic provides Low-Intensity Extracorporeal Shockwave Therapy (Li-ESWT) using the Dornier Aries 2 SmartFocus system as part of a comprehensive treatment approach for selected patients.
The treatment is non-invasive, does not require surgery or anaesthesia, and is generally well tolerated.
Typical Treatment Course
- 6 treatment sessions
- One session per week
- Approximately 15–20 minutes per session
- Suitability determined after comprehensive medical assessment
Li-ESWT is not suitable for every patient. Dr Gan will assess your symptoms, medical history and clinical findings before recommending whether this treatment option is appropriate.
Why Choose Southern Alphamen Clinic?
Southern Alphamen Clinic provides evidence-based men's health care with a focus on accurate diagnosis, personalised treatment and confidential patient care.
Led by Dr Gan
Consultations, assessments and treatments are provided under the care of Dr Gan, a certified Men's Health Physician.
Certified Expertise
Certified in Men's Health by the Society for Men's Health Singapore and trained in prostate disorders and erectile dysfunction.
Advanced Technology
Offers Dornier Aries 2 SmartFocus Low-Intensity Shockwave Therapy for selected patients.
Comprehensive Assessment
Each patient receives evaluation based on symptoms, medical history and individual health needs.
Private Consultation
Confidential consultations are conducted in a professional and comfortable clinical environment.
Convenient Access
Welcoming patients from Johor Bahru and Singapore for men's health consultations.
When Should You Seek Medical Attention?
You should consider arranging a consultation if you experience:
- Persistent pelvic pain lasting more than three months
- Recurring prostate discomfort or urinary symptoms
- Pain during or after ejaculation
- Difficulty passing urine
- Urinary urgency or frequency affecting daily activities
- Symptoms that repeatedly return despite previous treatment
- Concerns about sexual function related to pelvic discomfort
Early assessment helps identify the possible causes of your symptoms and allows an appropriate treatment plan to be developed based on your individual condition.
Frequently Asked Questions
Is chronic prostatitis caused by a bacterial infection?
Not always. Most men diagnosed with Chronic Pelvic Pain Syndrome (CP/CPPS) do not have an active bacterial infection. Antibiotics are usually only recommended when bacterial prostatitis is suspected or confirmed.
Is CP/CPPS a sexually transmitted disease?
No. Chronic Prostatitis / Chronic Pelvic Pain Syndrome is not considered a sexually transmitted infection and cannot be passed to a sexual partner.
Can shockwave therapy help CP/CPPS?
Current clinical evidence suggests that Low-Intensity Extracorporeal Shockwave Therapy (Li-ESWT) may help reduce pelvic pain, improve urinary symptoms and enhance quality of life in selected patients. Suitability will be assessed during consultation.
Is the shockwave treatment painful?
No. Most patients tolerate the treatment well without anaesthesia. Gentle pulses may be felt during the procedure, but significant discomfort is uncommon.
How many shockwave sessions will I need?
A typical treatment course consists of 6 weekly sessions, with each session lasting approximately 15–20 minutes. The treatment plan may be adjusted depending on your clinical response.
Can chronic prostatitis affect sexual function?
Yes. Some men experience painful ejaculation, reduced sexual confidence or erectile difficulties. Treating the underlying condition may help improve symptoms in selected patients.
Is CP/CPPS curable?
CP/CPPS is a chronic condition where symptoms may improve and flare up over time. While there is no single guaranteed cure, many patients experience significant improvement with an individualised treatment approach.
Are all treatments performed by a doctor?
Yes. At Southern Alphamen Clinic, consultations, assessments and treatments are performed by certified doctors.
Can I walk in without an appointment?
Yes. Walk-in patients are welcome, subject to doctor availability. However, appointments via WhatsApp or telephone are recommended to minimise waiting times.
Do you accept patients from Singapore?
Yes. Southern Alphamen Clinic welcomes patients from Singapore seeking confidential assessment and treatment for chronic prostatitis and chronic pelvic pain syndrome.
Book Your Confidential Consultation
If you have persistent pelvic pain, urinary symptoms or prostate discomfort, arrange a confidential consultation with Dr Gan at Southern Alphamen Clinic.
Following a comprehensive evaluation, we will recommend a personalised treatment plan that may include medication, lifestyle modification and, where appropriate, Low-Intensity Shockwave Therapy using the Dornier Aries 2 SmartFocus system.
Medical Disclaimer: Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) has multiple contributing factors, and treatment recommendations vary according to individual symptoms, examination findings and clinical assessment. Low-Intensity Shockwave Therapy may benefit selected patients but is not appropriate for everyone. Individual outcomes vary, and a comprehensive medical evaluation is essential before treatment.
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