Prostatitis (Inflammation of the Prostate Gland)

  • Medical Author:
    Jerry R. Balentine, DO, FACEP

    Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.

  • Medical Editor: Steven Doerr, MD
    Steven Doerr, MD

    Steven Doerr, MD

    Steven Doerr, MD, is a U.S. board-certified Emergency Medicine Physician. Dr. Doerr received his undergraduate degree in Spanish from the University of Colorado at Boulder. He graduated with his Medical Degree from the University Of Colorado Health Sciences Center in Denver, Colorado in 1998 and completed his residency training in Emergency Medicine from Denver Health Medical Center in Denver, Colorado in 2002, where he also served as Chief Resident.

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What is the treatment for prostatitis?

The treatment for prostatitis depends on the underlying cause and type of prostatitis. Antibiotics are prescribed if the cause is a bacterial infection. All forms of prostatitis require supportive care, pain control if needed, and close follow-up with your health care professional. In certain instances, some individuals with prostatitis may require hospitalization. Treatment modalities may include the following:

  • Antibiotics: Your doctor will decide the specific antibiotic and the duration of treatment.
  • Anti-inflammatory medications: These can help manage your pain.
  • Alpha-blockers: By relaxing the muscle fibers around the bladder and prostate gland, alpha-blockers may decrease your urinary symptoms and help you empty your bladder.
  • Warm sitz baths
  • Avoid alcohol, caffeine and spicy foods.
  • Prostate massage: In a few studies, prostate massage has been shown to decrease symptoms in some patients with chronic nonbacterial prostatitis.
  • Lifestyle changes: If you cycle or ride horses, it is recommended to suspend this activity until you improve.
  • Alternative treatments: Although there are many herbal preparations available, there is no current evidence that herbal remedies are definitely helpful with prostatitis.
  • Acupuncture: has shown a decrease in symptoms for some individuals suffering from prostatitis.

What are the complications of prostatitis?

There are several potential complications of prostatitis, which may include the following:

  • acute prostatitis becoming chronic prostatitis,
  • bladder outlet obstruction or urinary retention,
  • infertility,
  • abscess of the prostate gland,
  • spreading of the infection to the blood stream (bacteremia/sepsis), and rarely
  • death.

Prostatitis can elevate the PSA level. There is no evidence that prostatitis leads to prostate cancer. If the acute inflammation/episode of prostatitis has resolved, the PSA level will usually return to baseline levels.

Medically Reviewed by a Doctor on 8/17/2016

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