Chronic Prostatitis

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Treatment Options Available...

Treatment of CP/CPPS is individualized for each patient and is primarily based upon the diagnosis and the specific complex of symptoms. Treatments are, therefore, quite varied. They may include:

  • Dietary Changes
  • Behavior modification
  • Herbal Therapies
  • Acupuncture
  • Antibiotic therapy
  • Antiinflammatory agents
  • Urinary anesthetics
  • Alpha blockers
  • Antispasmotic agents for bladder
  • Skeletal muscle relaxants
  • Antihistamines
  • Antiseizure agents (many agents in this group are indicated for "neuropathic pain")
  • Antidepressant therapy (many agents in this group are indicated for "neuropathic pain")
  • "Atypical opioids"
  • Narcotic Therapy (generally dispensed by Pain Management Centers)
  • Physical Therapy
  • Trigger point injection to affected muscle group(s)
  • Pudendal nerve blocks
  • Botox® injection to pelvic floor (Botox® is not FDA approved for this purpose)
  • Urethral suppository placement
  • Prostate Thermotherapy

Similarities between CP/CPPS and Interstitial Cystitis:

Its effect on your therapy

Interstitial cystitis (IC) is a condition of heightened bladder sensitivity which in some instances may be associated with inflammation of the bladder wall. Its symptoms typically include the frequent need to urinate due to increasing pelvic discomfort or pain. Many patients with CP/CPPS have these complaints, and indeed, further evaluation demonstrates that IC is present. In these instances, further therapies for IC are available.