Prostate Forum - Chronic Prostatitis and treatment

According to your symptoms (“bladder feels constantly full”), cystoscopy report and data about repeating prostatitis, you could be experiencing chronic prostate inflammation (prostatitis chronica).

BASIC RULES for treating the chronic prostatitis are: to inform the patient better, to avoid unnecessary antibiotics and if the condition often repeats itself, to do fractional microbiological examination of the urine.

Symptoms of chronic prostatitis are similar to those in acute prostatitis but weaker and chronic:
1. Uften urination;
2. Painful urination;
3. Burning sensations in the lower abdomen, scrotum, perineum, penis’s head and inner sides of the legs;
4. Feeling of incomplete bladder emptying;
5. Feeling of pressure in the perineum and anal opening;
6. Disturbed seating;
7. Painful ejaculation and bloody sperm, and
8. Decreased libido with erectile dysfunction.

Treatment of chronic prostatitis includes:
1. Warm clothes;
2. Warm bath;
3. Medications: Painkillers (non-opiate), alpha-blockers, 5-alpha-reductasa inhibitors;
4. Prostate massage can help in some cases;
5. Doctor should convince the patient that the condition is harmless in order to prevent depression;
6. Antibiotics are indicated only if bacterial infection is proved. Fluoried chinolones (ciprofloxacin , norflohacin) or combination trimetoprim+sulfonamide are usually used. Antibiotic therapy lasts 1-2 months. If antibiotics do not help they should be aborted.

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