Chronic pelvic pain syndrome
ICD-10 R10.2 · ICD-11 MG30.00

Treatment of Chronic Pelvic Pain Syndrome in Male Patients with Pelvic Floor Myalgia

In male patients with chronic pelvic pain syndrome (CPPS), transrectal digital palpation of the pelvic floor muscles may reveal localised tenderness — a finding that indicates pelvic floor myalgia and shapes the treatment approach for this specific presentation.

Clinical scenario

Male patient with chronic pelvic pain syndrome in whom digital palpation of the pelvic floor muscles transrectally identifies tenderness, confirming pelvic floor myalgia as a key component of the presentation.

Treatment approach (partial)

Management centres on individualized manual physical therapy, including myofascial release of affected tissues both internally and externally. Electromyographic biofeedback is also part of the approach, targeting pelvic floor muscle tone and relaxation. The complete structured protocol — including the full scope of techniques, session parameters, and sequencing — is available via the link below.

Treatment goals

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1097/JU.0000000000004564

  1. Clinicians should perform digital palpation of the pelvic floor muscle transrectally in men to identify tenderness suggesting a diagnosis of pelvic floor myalgia.
  2. In men with pelvic floor myalgia or abdominopelvic muscle myalgia, clinicians may offer individualized manual physical therapy techniques (e.g., myofascial release of affected tissues both internally and externally).
  3. The MPT groups received up to 10 weekly treatments of 1 hour each.
  4. Clinicians may utilize electromyography biofeedback training to improve active pelvic floor muscle resting tone and relaxation time to improve pain, urination, and quality of life in patients with increased pelvic floor muscle tone.
View source ↗