Chronic Prostatitis Treatment
Chronic prostatitis and pelvic pain treatment is complicated, and part of the reason is that there are many different chronic prostatitis causes. There is no single treatment that works, and different treatments will work differently for different men. That is why many men with chronic prostatitis may become depressed or suffer anxiety from the pain and lack of traditional treatment options. What usually works best for most men is a multimodal treatment plan that involves a mix of traditional, natural and alternative therapies that can treat your prostatitis from different angles recognizing the true cause of your symptoms.
The old standard approach to chronic prostatitis and pelvic pain treatment was to prescribe antibiotics (whether or not it was bacterial) and if the symptoms didn’t go away then reevaluate and go from there using a variety of traditional drugs and pain killers. A modern diagnostic and treatment approach that employs the UPOINT system for prostatitis treatment, however, looks at the specific patients symptoms, determines what might be cause(s), and recommends treatment(s) that work for those specific symptoms individually.
UPOINT and Dr. Geo’s NPAT Prostatitis Program recognize that the majority of the causal factors of chronic prostatitis symptoms are actually unrelated to the prostate itself. That may sound counter-intuitive but modern day treatment of what was once considered a “prostate disease” focuses more and more on factors that lie “outside of the prostate.” A successful chronic prostatitis treatment plan therefore considers the whole person and what is right for that person’s symptoms, possible causes, psychological state, stress level, and health history (urinary, sexual, lifestyle and other factors).
The most clinically backed chronic prostatitis treatments include:
- Geo’s NPAT Program for Prostatitis
- Renew XY Health Program for Men™
- UPOINT System for Prostatitis Treatment
- The Wise-Anderson Protocol
- Medications and Drugs
- Natural Prostatitis Treatments
- Alternative Prostatitis Treatments
- Natural Supplements
- Pain Medication
These treatments provide relief for diverse prostatitis symptoms and causes.
Dr. Geo’s “NPAT” CPPS treatment program employs alternative and natural chronic prostatitis treatments recognizing that the pain and chronic pelvic discomfort are grounded in lifestyle, diet, nutrition and other factors that may be contributing to the chronic tension. All symptoms are individually analyzed to form a total treatment program using acupuncture, pelvic therapy, trigger point release, phytotherapy (quercetin and pollen extract), stress management and other remedies.
NPAT stands for:
- Natural treatments (with ALCAT, elimination diets, and wheat-free diets),
- Phytotherapy (with pollen and quercetin together with probiotics),
- Alternative Treatments (using acupuncture, prostate massage, pelvic rehabilitation and therapy), and
- Total body (incorporating exercise, chronic stress management, lifestyle changes)
Phytotherapy for chronic prostatitis involves using the natural supplements quercetin and pollen to treat prostatitis. The powerful antioxidants and anti-inflammatory properties of quercetin and pollen extracts have proven effective in multiple studies to help improve pain and quality of life of prostatitis patients and is recommended as part of both the UPOINT and NPAT programs.
The Renew XY Health Program for Men™ promotes a “whole body” approach to heal men’s pelvic pain and pelvic disorders, which are often disguised/misdiagnosed as prostatitis. The Program focuses on physiotherapy for pelvic floor muscle dysfunction in order to teach and train the patient to achieve relief from pelvic and related pain.
The UPOINT system for prostatitis treatment is used by doctors to classify prostatitis symptoms. This system recognizes that prostatitis symptoms can be caused by other conditions in the body and customizes a multimodal treatment to work for those symptoms. The six domains of the UPOINT system stand for Urinary, Psychosocial, Organ Specific, Infection, Neurologic/Systemic and Tenderness of Skeletal Muscles. You doctor will analyze the results from your NIH Chronic Prostatitis Symptom Index along with other diagnostic tests to determine the severity of your symptoms and recommend specific treatments based on the results. UPOINT is used as a diagnostic guide to systematically review the potential causes based on each patients specific symptoms.
The Wise-Anderson Protocol is an alternative chronic prostatitis treatment for men who suffer from pelvic pain. It was developed by urologists, psychologists, and physical therapists. It involves using trigger point release, physical therapy, and the treatment any psychological and behavioral issues that could be contributing to prostatitis symptoms. Patients are trained to use an internal trigger point wand so that they can continue the therapy at home.
Medications and drugs for chronic prostatitis may be helpful for treating some symptoms, but they may come with side effects and may be overprescribed for patients who don’t need them. Many doctors prescribe antibiotics just “to rule out infection,” however there are tests and lower urinary tract cultures that can rule that out for you without resorting to antibiotics. If bacteria is present then antibiotics are generally the first level of treatment, however if the results are negative, question your doctor as to “why” you should take antibiotics. Taking antibiotics when there is no bacteria present wastes your time, money, and has detrimental long-term effects to your health, such as antibiotic resistance (so that the drugs will not work well for you in the future when you do have a real bacterial infection or require, say, a prostate biopsy procedure). Antibiotics like Cipro also kill off the beneficial bacteria in your gut and have very serious side effects. Make sure after any course of antibiotics that you replenish the beneficial bacteria in your gut with a course of probiotics specifically formulated for men.
Doctors sometimes prescribe drugs to help with urinary symptoms of prostatitis. Drugs used to treat enlarged prostate (such as alpha blockers and 5 alpha reductase inhibitors) are prescribed for prostatitis patients experiencing urinary symptoms, but these drugs are generally not recommended as the first line of therapy and can cause some seriously unpleasant side effects such as long-term sexual dysfunction (ED), ejaculation problems as well as a high risk of prostate cancer (in the case of Proscar/Finasteride). If you experience symptoms of an overactive bladder or a sudden urge to urinate, your doctor may recommend anticholinergic agents to help with those types of symptoms. Always approach the use of medications with some caution, asking about potential side effects and long-term risks associated with their use.
Many men prefer to look into natural prostatitis treatments They are much better tolerated than many drug therapies, and studies show that they are very effective. There are supplements that can help support your prostate health, and there are also dietary changes you can make to reduce inflammation. The main thing is to avoid antibiotics as much as possible, and try many different natural and alternative approaches until you find relief.
Alternative prostatitis treatments are also drug-free and very effective ways to relieve prostatitis symptoms without risk of serious side effects. Alternative treatments include therapies like acupuncture, biofeedback, exercises, reflexology, sitz baths, ice packs, and many others. Alternative treatments options take your psychological well-being into consideration as well. Stress reduction techniques may be helpful in reducing pelvic floor tension. Some patients find that meditation, tai chi, yoga, and cognitive behavioral therapy help them relieve stress and their pelvic floor tension.
Some patients turn to pain medication for chronic prostatitis. Both over-the-counter and prescription drugs are used to treat pain. Anti-inflammatory drugs can help with pain, as may anti-depressives and muscle relaxants. Some of these medications should not be taken long-term, and you should learn about side effects before taking them.
What all these chronic prostatitis treatments have in common is that none of them is a single cure for prostatitis. Your best bet for success is to employ multiple treatments depending on your individual symptoms and causes. If your doctor uses UPOINT to classify your prostatitis symptoms, you will be able to narrow down the cause or causes of your symptoms and use treatments that have success in those specific areas. Understand that you have to be patient and open to new ideas. A holistic approach is going to help you approach your chronic prostatitis treatment from different angles and set you up for finding relief.
See also: What is the Prostate?