How is prostatitis treated?

Treatment depends on the type of prostatitis.

Treatments include the following:

  • Anti-inflammatory medicines, along with warm sitz baths (sitting in 2-3 inches of warm water). This is the most conservative treatment for chronic prostatitis.
  • Avoiding food that triggers symptoms, such as caffeine, spicy foods, and alcohol
  • Using a cushion if you will be sitting for a long time
  • Antibiotic medicine for infectious prostatitis. For acute infectious prostatitis, patients usually need to take antibiotic medicine for 7-14 days. Almost all acute infections can be cured with this treatment.
  • For chronic infectious prostatitis, antibiotic medicine is taken for a longer period of time — usually 6-12 weeks. About 60% of all cases of chronic infectious 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 may be recommended to relieve the symptoms.
  • The natural antioxidant bioflavonoid quercetin has been shown to improve inflammation and symptoms in men with nonbacterial prostatitis/chronic pelvic pain syndrome.
  • Alpha blocking agents can improve the urinary stream and often reduce the other voiding symptoms in patients with chronic prostatitis. Alpha blocking agents include tamsulosin (Flomax®) or alfusozin (Uroxatral®) for patients with voiding symptoms and those who do not empty their bladders well.

Other treatments for chronic noninfectious prostatitis include the drugs finasteride (Proscar®, terazosin®), and doxazosin. These drugs relax the muscles of the prostate and bladder to improve urine flow and decrease symptoms.

Many cases of nonbacterial prostatitis respond to such treatments as exercise, myofascial trigger point release physical therapy, progressive relaxation, and counseling.

Prostatitis is a treatable condition. Even if the problem cannot be cured, you can usually get relief from your symptoms by following the recommended treatment. If you are taking a medication prescribed by your doctor, it is important to follow the full course of the prescription, even if you no longer have any symptoms. With infectious prostatitis, for example, the symptoms may disappear before the infection has completely cleared.

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