Non-bacterial Prostatitis / Pelvic Pain Syndrome (CP/CPPS)
New York Urology Specialists’ Prostatitis Clinic offers state-of-the-art treatment approach to managing chronic prostatitis, a diagnosis that causes a lot of frustration to patients and doctors alike. At New York Urology Specialists our experienced urologists have extensive experience caring for men with chronic prostatitis and pelvic pain. When in need of a second opinion for chronic prostatitis and chronic pelvic pain as well as interstitial cystitis, top physicians refer to New York Urology Specialists.
Dr. Alex Shteynshlyuger has published some of the most cited papers on fungal prostatitis and atypical infections of the prostate.
Symptoms of Chronic Non-Bacterial Prostatitis
Chronic non-bacterial prostatitis causes chronic pain and urinary symptoms. While the name suggests the prostate gland as the origin of pain, newer understanding of chronic prostatitis/chronic pelvic pain syndrome recognizes that the prostate is only one of the possible origins of pelvic pain and discomfort. The symptoms may also be due to musculoskeletal causes, neurological causes among others. This condition is not typically caused by an infection with typical bacteria. Atypical infections with nanobacteria, hard-to-culture bacteria and viruses may cause symptoms in some men.
Possible causes of nonbacterial prostatitis include:
– A past bacterial prostatitis infection with secondary inflammatory reaction
– Bicycle riding
– Less common types of bacteria that are not normally detected such as nano-bacteria
– Chemical irritation caused by a backup of urine flowing into the prostate
– Nerve problem involving the lower urinary tract
– Parasites, viruses
– Pelvic floor muscle problems such as muscle spasms
– Sexual abuse
– Life stresses and emotional factor may play a part in the problem.
- Diagnosis: Most of the time a physical exam is normal. However, the prostate may be swollen or tender. Urine tests may show white or red blood cells in the urine. A semen culture may show a higher number of white blood cells and low sperm count with poor movement. Urine culture or culture from the prostate does not show bacteria.
- Treatment: Treatment for nonbacterial prostatitis is to control symptoms. Treatment options include trigger point therapy with pelvic physical therapy/massage as well as a number of medications that may affect the pain perception. Medications such as antibiotics and alpha-blockers help relax the muscles of the prostate gland and are used sometimes. Aspirin, ibuprofen, and other NSAIDs, which may relieve symptoms for some men are often given as well.
Other treatments that may be tried include warm baths to ease some of the pain, prostate massage, acupuncture, and relaxation exercises.
Prostatitis is a condition that often takes time to get better. Different treatment modalities are often tried until the one that works for a particular patient is determined. Correct diagnosis is the key to the management of prostatitis.
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