Prostatitis (Inflammation of the Prostate Gland) (cont.)

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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?

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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 3/19/2014

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