Chronic pelvic pain is the most common reason for men under 50 to visit a urologist. Yet it is very poorly understood. Doctors have called it prostatitis (say: pros-tuh-TIE-tis) for many years, mainly because when the doctor does the exam on a man with this condition, the prostate is very tender. “-itis” means inflammation. When you look at samples of an affected prostate under the microscope, there is no inflammation (swelling), so prostatitis is not a very good name. We have also traditionally treated this condition with antibiotics. It turns out that there are very rarely any bacteria involved, either.
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