Treatment Options for Prostatitis

Bacterial Prostatitis

The treatment for bacterial prostatitis requires elimination of bacteria through antibiotics. Generally the patient can continue with his usual life rhythm. However, if the condition is severe the patient may require staying in the hospital for receiving IV infusion. Often if the pain is severe, pain killers are prescribed together with antibiotics.

Treatment for Chronic Pelvic Syndrome (CPPS) or Non-bacterial Prostatitis

Of all forms of prostatitis CPPS is the toughest one to treat. It is called non-bacterial prostatitis because the tests do not reveal any sign of bacteria in the prostate.  However  the doctors often suggest antibiotics anyway so that if there are any undetected bacteria in the prostate, they will be eliminated.

Nevertheless, antibiotics are not going to be of any help if the patient is actually suffering from the non-bacterial prostatitis.  If the physician is unable to determine the existence of bacteria in the prostate, he resorts to prescribing other type of medicines for treating the condition. Medications such as 5-a-reductase inhibitors and Alpha-blockers are prescribed, which are also used by the patients of Benign Prostatic Hypertrophy (BHP).

How do medications treat non-bacterial prostatitis?

Alpha-blockers work towards relaxing the muscles. As a result, the muscles of the prostrate and the bladder benefit from them which leads to symptoms relief and normalizing the process of urination. Similarly, the 5a-reductase inhibitors discourage the activity of certain hormones responsible for growth of the prostate. This medicine acts towards slowing the malicious growth of the prostate and even helps reduce its size.

What other medications that can be used?

As medical science has not yet been able to determine the definite medication for non-bacterial prostatitis or CPPS, the patients may be required to consume pain-relieving medicines including anti-inflammatory non-steroidal medication and muscle relaxants for additional benefit.

All the above-mentioned medicines have shown improvements in the condition of the CPPS patients, who took part in the studies. However, these medications are not recommended for long-term use.

Treating prostatitis with surgery

A very small group of prostatitis patients do not benefit from non-surgical methods. This group also includes the patients suffering from non-bacterial prostatitis or CPPS. These patients manifest additional symptoms such as depression, weakness, lower cognitive abilities, and irritable bowel movement.

Such patients are advised to go for surgical removal of the prostate gland or prostatectomy. Presently, the most non-invasive prostate surgery is known as laparoscopic radical prostatectomy.

Laparoscopic prostatectomy is an alternative to conventional radical prostatectomy and is considered to be more successful and less invasive. Laparoscopic prostatectomy requires smaller incisions, is less painful overall and takes less recovery time. Moreover, the patient has lesser possibilities of catching infection.

It is recommended however that laparoscopic radical prostatectomy should be considered suitable for only those patients for whom every other available course of treatment has failed to produce the desired results.

At times, chronic bacterial prostatitis requires surgery to be conducted on the patients when antibiotic treatment does not treat the condition even after long-term medication. In that case, surgery is sometimes advised also, especially if the patient repeatedly and frequently suffers from urinary tract infections.

The surgical procedure may either eliminate a portion of the prostate gland or eliminate infected stones, also known as prostatic calculi. The procedure known as TURP (Transurethral Resection of the Prostate) eliminates a portion of the prostate via the urethra with the help of a thin, elongated tube – cystoscope.

This procedure is not recommended often for prostatitis because it does not treat the infection always and in fact, it can aggravate the symptoms.

Keep in mind that most of the time all forms of prostatitis can be treated and prevented from getting worse in much simpler ways!

Treatment of Prostatitis with Alternative Treatments

A number of studies have shown results in favor of alternative remedies, which include homeopathy, exercises, prostate massage, acupuncture, supplements, reflexology, high frequency stimulation, biofeedback, heat therapy, and trigger point release therapy.

Apart from these therapies, the patients should also bring lifestyle changes to encourage the prostate gland to become healthy again. In fact, therapies have better and faster effect when patients modify their lifestyles and incorporate those activities that encourage healthy prostate. Number one change should be a special prostate friendly diet and practising regular prostate massage. Prostate massage is the easiest, descreet, do it yourself  treatment. You can do it from the comfort of your own home a few times a week. It stimulates healthy blood flow and revitalizes the prostate region alleviating the symptoms and restoring its proper function.

> Learn more about prostate massage

> Learn more about alternative treatments