Chronic Pelvic Pain Treatment in Newcastle
Chronic pelvic pain in men is a condition characterised by persistent pain or discomfort in the pelvic, perineal, or genital region, often lasting for several months. Symptoms may include pain in the perineum, testicles, penis, or lower abdomen, and may be associated with urinary or sexual symptoms.
The causes of chronic pelvic pain are often complex and may involve a combination of inflammatory, neurological, and functional factors.
At Newcastle Men’s Health Clinic, assessment is led by a consultant urologist, with access to appropriate investigations and a structured approach to diagnosis and management.
Clinical Signs Chronic Pelvic Pain Assessment May Be Appropriate
Chronic pelvic pain may present in different ways and can vary in severity. Assessment may be helpful if you experience:
- Persistent Pelvic or Perineal Pain: Pain lasting for several weeks or months affecting the pelvic region.
- Genital or Testicular Discomfort: Ongoing discomfort in the penis, testicles, or surrounding areas.
- Pain Associated with Urination or Ejaculation: Symptoms that worsen during or after urination or sexual activity.
- Urinary Symptoms with Pelvic Pain: Frequency, urgency, or discomfort alongside pelvic pain.
- Symptoms Not Improving with Initial Treatment: Ongoing symptoms despite previous treatment or reassurance.
A structured assessment helps identify potential contributing factors and guide management.
Evidence-Based Clinical Approach
Chronic pelvic pain syndrome (CPPS) is recognised as a complex condition with multifactorial causes, including inflammatory, neurological, and functional components.
Clinical guidelines recommend a structured approach to assessment, which may include:
- urine and microbiological testing where appropriate
- imaging such as MRI in selected cases
- cystoscopy where clinically indicated
At Newcastle Men’s Health Clinic, assessment is led by a consultant urologist, with access to appropriate investigations to exclude underlying pathology and guide treatment.
Management is tailored to the individual and may involve a combination of medical treatment and supportive strategies.
Who We Help
We support men from across Newcastle and the North East who are experiencing persistent pelvic symptoms, including:
Chronic Pelvic Pain Syndrome (CPPS):
Persistent pelvic or perineal pain without a clear acute cause.
Chronic Prostatitis-Type Symptoms:
Pelvic pain associated with urinary or sexual symptoms.
Persistent Genital or Perineal Discomfort:
Ongoing symptoms affecting quality of life.
Men Seeking Specialist Assessment:
Patients who would like a structured evaluation and access to urological investigations.
Treatment Options
Treatment depends on the underlying cause and contributing factors.
Medical Management:
Medication may be used where appropriate, including antibiotics in selected cases where infection is suspected.
Focused Shockwave Therapy:
May be considered in selected men with chronic pelvic pain syndrome, where studies suggest it may help improve pain symptoms.
Supportive and Multimodal Management:
Management may involve a combination of approaches depending on symptom profile.
Further Investigation and Specialist Management:
Where required, additional investigations or treatments can be arranged as part of a urology-led pathway.
Our Clinical Team
Chronic pelvic pain assessment at Newcastle Men’s Health Clinic is led by Miss Judith Dockray Consultant Urological Surgeon and Andrologist.
Miss Judith Dockray provides specialist evaluation of pelvic pain symptoms and determines the need for further investigation, including microbiology testing, imaging, or cystoscopy where appropriate.
Non-surgical treatments such as focused shockwave therapy may be delivered within the clinic by experienced GPs with a focus on men’s health.
Getting to Our Newcastle Clinic
Newcastle Men’s Health Clinic is located within Blaydon Primary Care Centre, Shibdon Road, Blaydon-on-Tyne (NE21 5NW), just minutes from the A1 and the Metrocentre.
Our clinic is easily accessible for patients travelling from Newcastle, Gateshead, Sunderland, Middlesbrough, Durham, and across the wider North East. Free onsite parking is available at the centre.
Pricing and Insurance
We maintain a transparent pricing structure for our specialist urological assessments and chronic pain treatments.
-
Consultant Urologist Consultation £240
(Initial assessment)
-
Focused Shockwave Therapy: £275 per session
(Block packages available for 6, 9, or 12 sessions)
Please note: As a private, specialised clinic, we do not currently accept health insurance for Focused Shockwave Therapy.
Chronic Pelvic Pain Treatment Approaches
Feature
General Management
Newcastle Men’s Health Clinic
Assessment
Variable
Consultant-led urological assessment
Diagnostic investigations
Limited
Access to microbiology, imaging, and cystoscopy where indicated
Treatment approach
Symptom-based
Structured management based on underlying factors
Specialist input
Referral if needed
Direct access to consultant urology
Treatment options
Variable
Medication, targeted therapies, and supportive treatments
Frequently Asked Questions
What causes chronic pelvic pain in men?
Chronic pelvic pain can have multiple contributing factors, including inflammation, nerve sensitivity, and functional changes in the pelvic region. In many cases, no single cause is identified.
Is chronic pelvic pain the same as prostatitis?
Chronic pelvic pain syndrome is sometimes referred to as chronic prostatitis, although many cases do not involve active infection.
Will I need investigations?
In some cases, investigations such as urine tests, imaging, or cystoscopy may be recommended to exclude underlying conditions.
Can antibiotics help
Antibiotics may be used in selected cases where infection is suspected, but they are not appropriate for all patients
Does shockwave therapy help pelvic pain?
Shockwave therapy has been studied in chronic pelvic pain syndrome and may help improve symptoms in some men, although response varies.
Is this a long-term condition?
Symptoms can persist for some time, but many men experience improvement with appropriate management.
Glossary of Terms
- CPPS: Chronic Pelvic Pain Syndrome, a long-term condition causing pain in the pelvic region.
- FSWT: Focused Shockwave Therapy, a non-invasive treatment using acoustic waves.
- BAUS: The British Association of Urological Surgeons.
