Clemente A, et al. - Forty-four male participants (median 41 aged) with a clinical history of painful pelvic symptoms that persisted for at least three of the previous 6 months and were linked with urinary, anorectal and sexual disorders in the absence of bacterial prostate infection were assessed by the researchers in order to estimate whether pelvic magnetic resonance imaging (MRI) could play a role in considerable assessment of chronic pelvic pain syndrome. Ultrasound (US) and MRI of the pelvis was performed in these patients. Normal prostate imaging findings were found in the majority of patients such as gland morphology when assessed by the US and prostatic signal intensity on MRI. Extraparenchymal changes were seen in 28 patients with the most prevalence of the dilatation of periprostatic vein plexus which markedly equated to chronic pelvic pain syndrome, despite the various clinical presentations. Hence, in judging prostatic and extraprostatic structures, the high capability of MRI was verified. Further, periprostatic vein dilatation, which recognized approximately two-thirds of the individuals with chronic pelvic pain syndrome via pelvic MRI was markedly associated with chronic pelvic pain syndrome, regardless of patient age, symptoms and prostatic volume.