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Chronic Prostitis - How is it treated?

This is a very difficult condition to treat and we would recommend that you see a specialist. A full explanation of the current treatments and the latest devlopments in CP/CPPS therapy is best achieved by face-to-face consultation. Below is a brief overview.

Antibiotics

The most accurate studies of using antibiotics in CP/CPPS have been disappointing. When complared to placebo (inactive tablet) patients treated with the commonly used antibiotics did not significantly improve (Alexander, J Urol 2004). Sometime, an infection is found as the cause of symptoms, and for such patients a trial of antibiotics may be appropriate

Alpha-blockers

These muscle relaxing drugs can help men with benign prostate enlargement (BPH). They are also effective in some men with CP/CPPS, particularly those who have difficulty passing urine, pain, or painful ejaculation.

Alpha-blockers may also have an effective on the nervous system, reducing the sensitivity of the nerves and improving pain levels. It is thought that the inflammation in the prostate may be caused by malfunctioning nerve signals (so called "neurogenic inflammation"), and this is one of the ways these tablets might work. (Nickel, JUrol 2004)

Most patients find that they need to take the tablets for at least six weeks before they notice a significant improvement.

Hormone treatment

There have been some studies which have shown that giving certain types of hormone treatment can improve CP/CPPS symptoms. There is no conclusive proof that they work, however. (Nickel, BJUI 2004). Drugs that have been used include finasteride and mepartricin

Anti-inflammatories

Drugs such as refocoxib and naproxen have been shown to reduce pain symptoms in CP/CPPS. Other anti-inflammatories may also be used.

Sacral nerve stimulation

SNS is an experimental technique in CP/CPPS. This is a treatment which we ofer patients with bladder dysfunction. There is emerging evidence for its effectiveness in people with chronic pelvic pain conditions.

Other treatments

  • quercetin (a plant extract) has shown some efficacy
  • saw palmetto (a plant extract) has shown little effect and probably will not work
  • acupuncture
  • pelvic floor relaxation
  • bladder training
  • pain management clinics 
  • massage