Prostate treatments vary among urologists and are tailored to the type of prostatitis you have. Correct diagnosis is crucial because each type of prostatitis is treated differently, and it’s important to make sure your prostate symptoms are not caused by urethritis (inflammation of the urethra) or another condition that might lead to permanent bladder or kidney damage.
Prostate treatments generally include the following:
Taking anti-inflammatory medicines along with warm sit baths (sitting in 2-3 inches of warm water) is the most conservative treatment for chronic prostatitis.
Antibiotic medicine for bacterial prostatitis are not effective treatments for non-bacterial prostatitis. For acute bacterial prostatitis, patients usually need to take prostate antibiotic medicine for 2-4 weeks. Almost all acute prostate infections can be cured with this treatment.
For chronic bacterial prostatitis, antibiotic medicine is taken for a longer period of time, usually 4 to 12 weeks. About 60 percent of all cases of chronic bacterial prostatitis clear up with this treatment. For cases that don't respond to this treatment, taking antibiotics at a low dose for a long time might be recommended to relieve the symptoms, or you can consider our prostate injections treatment at this stage.
Pain medicines might be use to relieve prostate pain.
Surgical removal of the infected portions of the prostate might be advised for severe cases of chronic prostatitis or for men whose swollen prostate is blocking the flow of urine.
Supportive therapies for chronic prostatitis include stool softeners and prostate massage.
Other prostate treatments for chronic non-bacterial prostatitis include the use of the drugs Proscar, Hytrin, and Cardura. These drugs relax the muscles of the prostate and bladder to improve urine flow and decrease symptoms.
Many cases of non-bacterial prostatitis (also considered chronic pelvic pain syndrome) respond to multidisciplinary approaches incorporating exercise, myofascial trigger point release, progressive relaxation, and counseling.
Prostatitis is a treatable disease. Even if the prostate problem cannot be cured, you can usually get relief from your symptoms by following the recommended treatment. It is important to follow the full course of the prescription, even if you no longer have any prostate symptoms. With infectious prostatitis, for example, the prostate symptoms might disappear before the infection has completely cleared.
Unfortunately, quite high, as prostatitis has a pronounced tendency to recur. If you do suffer further attacks from prostatitis, see your prostate doctor straight away as prompt prostate treatment can help to stop the prostatitis infection or inflammation from taking hold.
The usual prostate health advice is appropriate here – lots of exercise and a healthy diet for the benefit of prostate health. A healthy immune system should help you fight off prostate infections. Some prostate doctors advise their patients with a history of prostatitis to take vitamins D and E, selenium and zinc supplements, but there is little hard evidence to support their usefulness in avoiding prostatitis.
The prostatitis treatment is based on the cause. Your local prostate doctor may do a rectal exam and test urine samples to find out the cause. In a rectal exam, your prostate doctor may check your prostate by putting a gloved, lubricated finger into your rectum to feel the back of your prostate gland. Antibiotics are used to treat prostatitis that is caused by an infection. You might have to take antibiotics for several weeks or a few months. If prostatitis is severe, you might have to go to a hospital for prostate treatment with fluids and antibiotics
Treatment for prostatitis usually begins with taking an antibiotic for several weeks. If you begin to feel better, you may have to take the medicine for 2 to 3 months. If you do not get better while taking antibiotics, more prostate tests may be done.
Acute prostatitis Treatment for acute prostatitis is aimed at curing the infection and preventing complications. Acute bacterial prostatitis is treated with antibiotics, pain and fever medication, stool softeners, fluids, and rest. If you are unable to urinate or need intravenous antibiotics, you may be admitted to a hospital for treatment. Most men recover quickly with treatment, which lasts for 4 to 6 weeks.
Chronic bacterial prostatitis Treatment for chronic bacterial prostatitis is aimed at curing the infection and preventing complications. Antibiotics are given for 6 to 12 weeks. Long-term antibiotic treatment may be needed if the infection returns. Infected prostate stones (prostatic calculi) can make the infection more difficult to cure. If present, they may need to be surgically removed. Surgery may be needed if urinary tract problems, such as narrowing of the bladder neck or urethra, are causing the prostatitis. Surgical removal of the prostate (prostatectomy) for repeated infections is rarely used, and only as a last resort.
Chronic prostatitis/pelvic pain syndrome, inflammatory Treatment of chronic prostatitis/pelvic pain syndrome, inflammatory, may be difficult. Antibiotics are tried first. If your symptoms do not improve, treatment with these medications is usually stopped. Muscle relaxants and alpha-blockers may be used if muscle spasms are causing pain or problems urinating. Medications to reduce inflammation may relieve pain. Finasteride, a medication that slows the growth of the prostate, may be used. Massaging the prostate 3 or 4 times a week may help relieve symptoms. Counseling, biofeedback, or relaxation techniques may help reduce stress that is contributing to the pain.
Chronic prostatitis/pelvic pain syndrome, noninflammatory Chronic prostatitis/pelvic pain syndrome, noninflammatory, is difficult to treat because it is not clear what causes this form of prostatitis. The primary goal of treatment is to relieve symptoms. Nonnarcotic pain medications, muscle relaxers, and alpha-blockers are used. Physical therapy, medications to reduce anxiety, exercise, massage therapy, biofeedback, or stress reduction may help some men. It may be helpful to avoid alcohol, caffeine, and spicy foods such as hot peppers, chili, pickles, and salsa, especially if they make your symptoms worse.
Acute or chronic bacterial prostatitis If you have prostatitis caused by a bacterial infection (acute or chronic bacterial prostatitis), contact a prostate dr. about your symptoms, especially if you have a fever. Antibiotics and other prostate medications will be prescribed as needed.
Chronic prostatitis/pelvic pain syndrome, inflammatory or noninflammatory Home prostate treatment may help control symptoms and relieve pain if you have chronic prostatitis/pelvic pain syndrome, inflammatory or noninflammatory. In addition to trying the above home prostate treatment tips for acute and chronic bacterial prostatitis: Avoid alcohol, caffeine, and spicy foods such as hot peppers, chili, pickles, and salsa, especially if they make your symptoms worse. Try stress management: deep breathing, relaxation, exercise, and elimination of stressful circumstances. Stress and anxiety may cause your symptoms to get worse. For more information, see the topic Stress Management. Ask your health professional about plant extracts, such as saw palmetto, quercetin (Prosta-Q), or bee pollen extract (Cernilton), which may provide some relief.
Most cases of acute bacterial prostatitis respond completely to prostate therapy. Unfortunately, the treatment for the chronic prostatitis syndrome is far from perfect. Patients with chronic bacterial prostatitis can have persistence of their infectious problem despite antibiotic use. This is because of the difficulty antibiotics having in penetrating the prostate gland to completely kill all the bacteria deep within the prostatic ducts. Repetitive or frequent prostate massages may be helpful in these cases. The patients who have had chronic bacterial prostatitis and have been cured are susceptible to recurrences and each recurrence may be more difficult to treat than the last. Many patients with chronic prostatitis/chronic pelvic pain syndrome (non-bacterial prostatitis and prostatodynia) fail therapy. The prostate physician may employ a multi-modal approach to therapy (more than one treatment at a time). Patients may find that they have to learn to live, and cope with their prostate symptoms while the inflammation hopefully "burns itself out." The good news is that our Prostatitis Injection Treatment can deal with chronic cases of prostatitis.
Men who have had prostatitis once are more likely to get it again. Antibiotics may not get into the prostate gland well. Small amounts of bacteria might "hide" in the prostate and not be killed by the antibiotic. Once you stop taking the antibiotic treatment, the infection can get bad again. If this happens, you might have to take antibiotics treatment for a long time to prevent another infection. Prostatitis that is not caused by infection is often chronic. If you have this kind of prostatitis, you might have to take medicine for a long time.
However, there are some things you can do at home that may help you be more comfortable when you have prostatitis: Take nonprescription pain relievers, such as aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), or acetaminophen. Sit in a tub of warm water with the water just covering your buttocks, or try a sitz bath. Take care of yourself when you have an infection. Get plenty of rest, and drink lots of fluids. This will make you feel better and may speed your prostate recovery. Eat plenty of high-fiber foods, such as fruit, vegetables, and whole-grain breads and cereal, and drink enough water to avoid constipation. Straining to pass a bowel movement may be very painful when your prostate is inflamed, so use a stool softener if necessary.
The diagnosis of the various types of prostatitis can be very difficult and sometimes quite frustrating for the patient and his prostate physician. The symptoms are variable and there is much overlap in symptoms between the various types of prostatitis. Once the patient has treatment with antibiotics, it can be difficult to differentiate a bacterial prostatitis from a nonbacterial prostatitis.
Prostatitis can be treated in a number of ways depending on the cause of the prostatitis, but it cannot always be cured. If there is an underlying cause of prostatitis, this should be treated first. Acute bacterial prostatitis can be treated with antibiotics. Symptoms of non-bacterial prostatitis can be relieved by taking warm baths. The other treatment options are:
Oral medications for prostatitis
Some men can get relief from their symptoms using antibiotics, when used for treatment of bacterial forms of prostatitis. A type of medication called ‘alphablockers’ can be used to relax the muscles in the upper urethra which helps relieve pain. Other prostate medications that can reduce symptoms are drugs that cause the inflammation to go down (anti-inflammatory agents), muscle relaxants, analgesics and 5alpha-reductase-inhibitors such as Finasteride.
Transurethral resection of the prostate (TURP) for prostatitis
This procedure involves removing the prostate in small pieces through the penis. A small camera (endoscope) and device for cutting and removing tissue from the body (resectoscope) is guided through the urethra to avoid cuts and wounds on the outside of the body. About nine out of ten men report less symptoms after a TURP; however, major side-effects from this surgery such as erectile dysfunction and retrograde ejaculation can be experienced.
Prostatectomy Prostatectomy for prostatitis
It
is the surgical removal of the whole prostate gland. It is not often considered for treatment of prostatitis. In the case of severe prostatitis where no other treatments have worked, this procedure may be used, albeit rarely.
Prostate massage to cure prostatitis
Prostate massage for prostatitis can be used for chronic pelvic pain syndrome when medicines are not successful. This procedure is done under anaesthetic by a specialist (urologist). The prostate is massaged by pressure through the rectum until any infected fluids in the prostate are pushed out. This technique is not always helpful.
Pelvic floor exercises to alleviate prostatitis
Pelvic floor muscles help control the bladder and bowel. For some men, pelvic floor muscle relaxation techniques may be helpful when prostatitis is caused by the pelvic floor muscles or bladder not working properly. Pelvic floor relaxation techniques are exercises that can be helpful for symptom relief, and can be taught by a health professional such as a physiotherapist.
Other tips for relieving the symptoms of prostatitis
These prostatitis tips
include cutting out caffeine, alcohol, and spicy foods from the diet. Taking hot baths, or if heat does not work, applying ice packs to the perineum can help. Avoiding constipation can be of benefit as large, hard bowel movements can press on the sore prostate and can be quite painful. Lifestyle changes such as avoiding activity that involves vibration or trauma to the perineum e.g. bike riding, tractor driving, long-distance driving can also help reduce prostate symptoms of prostatitis.
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