Prostatitis - Nonbacterial
Alternate Names : NBP, Pelvic Pain Syndrome, Prostatodynia
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Treatment
Treatment for nonbacterial prostatitis is difficult and is aimed at treating the symptoms.
MEDICATIONS:
Many patients are treated with long-term antibiotics to assure that bacteria is not the cause of their prostatitis. Common antibiotics used for chronic bacterial prostatitis include the following:
- Trimethoprim-sulfamethoxazole (Bactrim)
- Ciprofloxacin (Cipro)
- Tetracycline
- Penicillin
Other medications used to relieve prostatic urinary obstruction, including doxazosin, terazosin, and tamsulosin, are successful in many patients. Anti-inflammatory agents such as aspirin, ibuprofen, and other nonsteroidal anti-inflammatory drugs (NSAIDs) may relieve the symptoms in some patients.
Some people have had limited success with pollen extract (Cernitin) and allopurinol. Stool softeners may be recommended to reduce the discomfort associated with bowel movements.
SURGERY:
Transurethral resection of the prostate may be done if medical therapy is unsuccessful. This surgical treatment is usually not performed on younger men because it carries potential risks for sterility, impotence, and incontinence.
OTHER THERAPY:
Warm baths may provide some relief of the perineal and lower back pain associated with prostatitis.
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