Other Medical Treatments for Prostatitis
What Are Other Medical Treatments for Prostatitis?
Other medical treatments for prostatitis include procedures that your doctor may suggest after you have tried other conventional, natural, and alternative treatments without success and are still suffering. Other medical treatments for prostatitis include the following:
- Intraprostatic Injection for Prostatitis
- Immunosuppression for Prostatitis
TUNA stands for transurethral needle ablation. This outpatient procedure can be used in cases of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) that have failed to respond to other treatment. With TUNA, the prostate is heated up to 90 to 100 degrees Celsius. It is considered a safe and easy treatment that can resolve symptoms for some men. Learn more about the TUNA procedure.
TURP stands for transurethral resection of the prostate. This surgical procedure removes portions of the prostate gland through the penis. This procedure is a last resort for men who have not found success in treating chronic bacterial prostatitis. Learn more about the TURP procedure.
If you have chronic bacterial prostatitis that has not responded to long-term antibiotic treatment and causes you to get repeated urinary tract infections, your doctor may suggest the TURP surgery for prostatitis to remove part of your prostate. He or she may also recommend TURP if you have infected prostate stones, also called prostatic calculi.
Keep in mind that surgery does not always cure your infection, and it can even make your symptoms worse or cause side effects such as urinary incontinence and/or erectile dysfunction.
TUMT, or transurethral microwave thermotherapy, is a procedure used on men with urinary symptoms of CP/CPPS that have not responded to other forms of treatment. This minimally invasive outpatient treatment is completed in one half-hour session. In TUMT, a catheter is inserted into the urethra, and a device sends microwaves to heat portions of the prostate. A cooling system protects the urinary tract. Studies show that this is an effective procedure for CP/CPPS. Learn more about the TUMT procedure.
Intraprostatic Injection for Prostatitis is a treatment for chronic bacterial prostatitis. When several courses of antibiotics are not effective in treating this type of prostatitis it is sometimes caused by a local autoimmune disease process and the possible presence of intraprostatic bacterial biofilms that the oral antibiotics are unable to penetrate. This procedure involves injecting antibiotics and steroids into the prostate through the perineum. The needle is guided by ultrasound. Learn more about this procedure here.
Immunosuppression for prostatitis is rarely used and would only be useful in the case of CP/CPPS, when no infection is present. This therapy could be helpful if the CP/CPPS is due to an autoimmune condition. One patient with kidney disease had several months of perineal and urethral sensitivity and pain due to CP/CPPS. After receiving a kidney transplant and immunosuppression with steroids, cyclosporine, and mycophenolate mofetil, the patient’s CP/CPPS symptoms completely resolved and he remained symptom-free at his 13-month checkup. This is not going to be the right course for many patients, but it does suggest that the etiology of CP/CPPS is not an active infection, which would have gotten worse under immunosuppression. Also, full immunosuppression is necessary for the treatment to work. Just taking steroids is not enough for success. Learn more about immunosupression.
If you have not had any success treating either CP/CPPS or chronic bacterial prostatitis after several months, your doctor may suggest one of these other medical treatments for prostatitis. While some are experimental others have a history of success. Make sure you ask a lot of questions before starting any treatment, as there are side effects associated with them, and many of the side effects could affect your lifestyle negatively.