Objectives: Chronic pelvic pain syndrome (CPPS) in men is often misdiagnosed as an infectious condition despite negative laboratory and imaging findings. This report describes a case of noninfectious pelvic pain following excessive pelvic floor exercise and its successful treatment with acupuncture.

Methods: A 54-year-old male presented with urinary urgency, positional pelvic pain, and penile–scrotal dysesthesia following frequent Kegel exercises. Extensive diagnostic evaluation excluded infectious and structural causes. The patient received five acupuncture treatments incorporating scalp, auricular, and body acupuncture targeting pelvic floor dysfunction and autonomic imbalance.

Results: After five sessions, pelvic pain and urinary symptoms resolved completely, with no recurrence reported.

Conclusion: Acupuncture may be an effective therapeutic option for male CPPS associated with pelvic floor overactivity and should be considered in integrative management strategies.