Jeanette M. Potts, MD, presents “About Male UCPPS.”
How to cite: Potts, Jeanette M. “About Male UCPPS.” July 8, 2025. Accessed Jul 2025. https://grandroundsinurology.com/about-male-ucpps/
About Male UCPPS – Summary
Jeanette Potts, MD, Co-founder, Vista Urology and Pelvic Pain Partners, delivers a comprehensive 54-minute presentation on chronic pelvic pain in men, questioning the persistent misdiagnosis of prostatitis. Dr. Potts critiques the entrenched NIH classification of prostatitis, particularly Category III, which inaccurately captures most cases of chronic pelvic pain without evidence of inflammation or infection. She argues that 90% of such cases are not prostatitis and urges abandonment of the term except for confirmed bacterial infections.
Potts highlights how urologists often overprescribe antibiotics, instead advocating for neurologic, musculoskeletal, psychosocial, and gastrointestinal contributors.
Her diagnostic strategy relies on detailed histories, including sexual function, bowel patterns, exercise, and psychological stress. She emphasizes that thorough physical exams are crucial for uncovering trigger points, musculoskeletal imbalances, or missed pathology. She references case studies that illustrate oversights due to reliance on imaging alone. Potts also cautions against reflexively referring to physical therapy without proper assessment.
Potts underscores that chronic pelvic pain is a complex, individualized condition requiring time, curiosity, and whole-person care, without shortcuts.
