KARL MONAHAN

MY STORY, HISTORY AND APPROACH

Karl Monahan — Male Pelvic Pain Specialist

CPPS · Chronic Prostatitis · Hard Flaccid Syndrome · Face-to-Face London & Online Worldwide

---

If you’ve found this page, you’re probably exhausted. You’ve done the rounds — GP appointments, urology referrals, blood tests, urine cultures, possibly a prostate exam. The results come back normal. You’re handed antibiotics that do nothing, or told there’s nothing more to be done: learn to live with it. Nobody has properly explained what is happening in your body. The loneliness of that is almost worse than the pain itself.

I know this because I have been exactly where you are.

Explore our proven Pelvic Pain Treatment Options.

---

A Specialist Who Has Been Through It Himself

In my early twenties I developed epididymitis — a severe infection that left me hospitalised, on IV antibiotics, and in genuine fear. I was sent home from A&E the first time with little more than pain relief. Twenty-four hours later I was back. By then it was too late — the infection had eaten through the delicate membranes of the testicle. I lost it.

For the year that followed I lived with the full landscape of male pelvic pain: groin aches, urethral burning, post-ejaculatory pain, sensations that shifted and defied explanation. I know what it means to carry pain in a part of the body men aren’t supposed to talk about — to feel dismissed by the medical system and quietly desperate. My last significant flare-up was over a decade ago. I have not just read about recovery from CPPS. I have lived it.

You can read the full account of how it began here, and an honest account of what a flare-up feels like from the inside — written in real time during one of the hardest periods of my life — here.

---

From The Prostate Centre to a Dedicated CPPS Practice

In 2006 I joined the team at The Prostate Centre on Wimpole Street, London, working under internationally recognised urologists Professor Roger Kirby and Professor Prokar Dasgupta. Supporting men through prostate cancer — through exercise, nutrition, stress management and massage therapy — gave me a foundation in male health that few therapists anywhere possess. It also showed me, at close range, how severely men with chronic prostatitis and CPPS were falling through the gaps of the system.

That recognition set me on a path of deliberate, unrelenting specialist learning. In 2016 I opened The Pelvic Pain Clinic as a practice dedicated exclusively to men with CPPS, chronic prostatitis, and Hard Flaccid Syndrome. I now treat patients from across the UK face-to-face in London, and men from around the world via telehealth — with referrals from Prostate Cancer UK, private urologists, GPs, and physiotherapists in the US and Australia.

---

25 Years of Specialist Training in Male Pelvic Pain

The treatment of male pelvic pain requires expertise across multiple disciplines — manual therapy, pain neuroscience, nervous system rehabilitation, movement, gut health, psychology, and trauma. I have spent 25 years building exactly that breadth.

Key milestones include training in Belize and Portland, Oregon in the Arvigo Techniques of Maya Abdominal Therapy (ATMAT) — becoming the first male therapist in Europe to offer this work in male pelvic health — and lecturing at the Annual Arvigo Convention in Mexico in 2011 on ATMAT’s application in CPPS and prostatitis. I have trained directly under leading figures in chronic pain science including Lorimer Moseley, Sandy Hilton, Greg Lehman, and Tim Beames, as well as completing advanced study in Acceptance and Commitment Therapy and, most recently, an eight-month mentorship in IFS-Informed Somatic Trauma Therapy with Dr Frank Anderson. No single model explains or resolves chronic pelvic pain. That is why my approach draws from all of them.

---

Research, Teaching and Advocacy for Male Pelvic Pain

Male pelvic pain has been poorly understood and poorly served for too long. I have spent a significant part of my career working to change that beyond the clinic.

In 2017 I published The Inflammatory Journey of a Prostatitis Patient in Trends in Urology & Men’s Health — advocating for a biopsychosocial approach to CPPS treatment, written from the unique perspective of practitioner and patient. My work has been acknowledged in peer-reviewed research on pain and sexual dysfunction in CP/CPPS, published in a leading urology journal. I served on the international Delphi panel from Curtin University, Australia, contributing to the Fremantle Perineum Questionnaire for perineal pain assessment. I contributed a chapter to the book Journeys in Healing, and have guest lectured at Bath University’s Masters Physiotherapy programme.

I have delivered public lectures on CPPS and chronic prostatitis in London, taught Sports Therapy undergraduates at NESCOT College, and been interviewed as a specialist voice on male pelvic pain by clinicians and educators across the UK, US and internationally — including Jilly Bond, Dr Susie Gronski, and FemFusion Fitness. I also ran face-to-face and online support groups for men with CPPS throughout the pandemic and for years beyond — because clinical treatment alone is never the whole answer.

Discover real Patient Testimonials.

---

What Treatment for CPPS and Chronic Prostatitis Looks Like

Every man who comes to me has a different story — different symptoms, different history, different nervous system, different life circumstances. CPPS and chronic prostatitis are not conditions that respond to one-size-fits-all protocols. My job is to understand your individual picture thoroughly, without judgment, and build a recovery pathway around it.

We begin with an in-depth intake and a 30-minute video consultation. Your first full session — 90 minutes, face-to-face in London or online — goes deep into your case and builds your bespoke programme. Follow-up sessions continue every four weeks, with full support by email and WhatsApp in between. You will not navigate this alone.

Men I have worked with have gone from hospitalisation and despair to completing 70-mile cycling events, resuming sex lives they had given up on, returning to sport, and getting their lives back. Read their stories here: Patient Testimonials.

Treating: Chronic Pelvic Pain Syndrome (CPPS) · Chronic Prostatitis (CP) · Hard Flaccid Syndrome (HFS) · Pelvic floor dysfunction in men · Penile pain · Perineum pain · Testicular pain · Urinary symptoms related to pelvic pain

Available: Face-to-face in London · Online worldwide via Zoom

Contact Karl Monahan to start your recovery journey today.

---

Clinic Address:
The Pelvic Pain Clinic
1st Floor, 1 Lower Grosvenor Place, London SW1W 0EJ
Phone: 07776 243 277

Follow us for updates on LinkedIn, Facebook, and You Tube.