Prostatitis describes a combination of infectious diseases (acute and chronic bacterial prostatitis), chronic pelvic pain syndrome (CPPS) or asymptomatic prostatitis. Most men with “chronic prostatitis” have chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), characterised by pelvic pain (i.e. perineal, suprapubic, testicular, penile) variable urinary symptoms and sexual dysfunction (primarily pain associated with ejaculation). The etiology of this syndrome is not fully known, the evaluation has been controversial and treatment is frequently unsuccessful. Focused multi-modal therapy appears to be more successful than empiric monotherapy.
The recommendations presented in these Canadian guidelines were developed from North American NIH consensus meetings, International Consultation on Urologic Disease (ICUD)/World Health Organization (WHO) consensus meeting and European Guideline Committee recommendations.