Treatment

Prostatitis treatments depend on the underlying cause. They can include:

  • Antibiotics. This is the most commonly prescribed treatment for prostatitis. Your doctor will choose your medication based on the type of bacteria that might be causing your infection.

  • If you have severe symptoms, you might need intravenous (IV) antibiotics. You'll likely need to take oral antibiotics for four to six weeks but might need longer treatment for chronic or recurring prostatitis.

  • Alpha blockers. These medications help relax the bladder neck and the muscle fibers where your prostate joins your bladder. This treatment might ease symptoms, such as painful urination.
  • Anti-inflammatory agents. Nonsteroidal anti-inflammatory drugs (NSAIDs) might make you more comfortable.

Alternative medicine

Alternative therapies that show some promise for reducing symptoms of prostatitis include:

  • Biofeedback. A biofeedback specialist uses signals from monitoring equipment to teach you to control certain body functions and responses, including relaxing your muscles.
  • Acupuncture. This involves inserting very thin needles through your skin to various depths at certain points on your body.
  • Herbal remedies and supplements. There's no evidence that herbs and supplements improve prostatitis, although many men take them. Some herbal treatments for prostatitis include rye grass (cernilton), a chemical found in green tea, onions and other plants (quercetin) and extract of the saw palmetto plant.

Discuss your use of alternative medicine practices and supplements with your doctor.

Nov. 23, 2016
References
  1. Meyrier A, et al. Acute bacterial prostatitis. http://www.uptodate.com/home. Accessed Oct. 11, 2016.
  2. Meyrier A, et al. Chronic bacterial prostatitis. http://www.uptodate.com/home. Accessed Oct. 11, 2016.
  3. Prostatitis. Prostate Cancer Foundation. http://www.pcf.org/site/c.leJRIROrEpH/b.5813305/k.A27E/Prostatitis.htm. Accessed Oct. 14, 2016.
  4. Prostatitis: Inflammation of the prostate. National Kidney and Urological Diseases Information Clearinghouse. https://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostate-problems/Pages/facts.aspx/. Accessed Oct. 14, 2016.
  5. Pontari M. Chronic prostatitis/chronic pelvic pain syndrome. http://www.uptodate.com/home. Accessed Oct. 14, 2016.
  6. Sharp VJ, et al. Prostatitis: Diagnosis and treatment. American Family Physician. 2010;82:397.
  7. Castle EP (expert opinion). Mayo Clinic, Scottsdale/Phoenix, Ariz. Oct. 26, 2016.