prostatitis treatments
Prostatitis is a common condition which afflicts mainly younger and middle-aged men and is characterised by perineal discomfort (around and between the anus and scrotum) and urinary symptoms. The term “prostatitis” implies inflammation of the prostate, but in fact “prostatodynia” or “the painful prostate” is more apt as there is always pain, or at least discomfort, with this condition, but not always inflammation. Prostatitis can be notoriously difficult to treat and its cause difficult to find; many men suffer for years without relief.
Urine samples, digital rectal examination and transrectal ultrasound (TRUS) may all be used to diagnose the problem. If infection is found within the prostate, a prolonged course of antibiotics – usually ciprofloxacin – will usually relieve the symptoms and eventually resolve the problem. If no infection is detected then anti-inflammatory agents, such as voltarol, are better, although they can cause indigestion and should always be taken with meals.
The causes can be multifactorial and the condition may be a symptom arising from stress or other psychological problems. Occasionally the pain may be referred from the lower spine or pelvis, so this may be investigated too.
There is some evidence that prostatic massage, as well as more general lower body massage, can be beneficial. We also strongly recommend lifestyle adjustments with dietary modification and increased exercise together with reduction of stress and anxiety.
Who is it suitable for?
Men with generalized pelvic pain and urinary symptoms
How does it work?
Antibiotics are used to kill the bacteria; drugs such as ibuprofen or volatrol work to reduce the inflammation. Prostatic massage can help to relieve the symptoms but will not eradicate the cause.
Where is it done?
Treatment, including general lower body massage, is managed by us at The Prostate Centre.
How much does it cost?
The cost of consultations and tests will vary but should be covered by your policy if you are insured. Drugs and general massage are unlikely to be covered.