Chronic bacterial prostatitis; Chronic pelvic pain syndrome
Treatment
Treatment options for chronic prostatitis include a combination of medication, surgery, and lifestyle changes.
MEDICATIONS
Chronic prostatitis is treated with a long course (6 - 12 weeks or longer) of antibiotics. Trimethoprim-sulfamethoxazole (Bactrim or Septra) and ciprofloxacin (Cipro) are commonly used. Other antibiotics that may be used include:
- Carbenicillin
- Erythromycin
- Nitrofurantoin
- Tetracycline
Most antibiotics do not get into the prostate tissue well. Often, the infection continues even after long periods of treatment. After antibiotic treatment has ended, it is common for symptoms to return.
Sometimes small stones form in the prostate gland, making it harder to clear the infection.
Stool softeners may be recommended to reduce discomfort with bowel movements.
Nonsteroidal anti-inflammatory medications (NSAIDs such as Aleve and Motrin) and alpha adrenergic blockers (such as doxazosin [Cardura], tamulosin [Flomax], or terazosin [Hytra]) may also be used.
SURGERY
Prostate massage and myofascial release are other treatments that may help this condition.
OTHER THERAPY:
Frequent and complete urination is recommended to decrease the symptoms of urinary urgency. If the swollen prostate restricts urine flow through the urethra, the bladder may not empty. Inserting a
DIET:
Avoid substances that irritate the bladder, such as alcohol, caffeinated beverages, citrus juices, and hot or spicy foods.
Increasing the intake of fluids (64 - 128 ounces per day) encourages frequent urination. This will help flush bacteria from the bladder.
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