Treatment for nonbacterial prostatitis is difficult. The goal is to control symptoms, because it is hard to cure this condition.
Many patients are treated with long-term antibiotics to make sure that bacteria are not causing their prostatitis. However, patients who have had symptoms for a long period of time and do not seem to benefit from antibiotics should stop taking them.
See also: Prostatitis - bacterial
Medications called alpha-adrenergic blockers help relax the muscles of the prostate gland. They include:
- Alfuzosin (Uroxatral)
- Doxazosin (Cardura)
- Silodosin (Rapaflo)
- Tamsulosin (Flomax)
- Terazosin (Hytrin)
It usually takes about 6 weeks before these medicines start working. Many people do not get relief from these medicines.
Aspirin, ibuprofen, and other nonsteroidal anti-inflammatory drugs (NSAIDs) may relieve symptoms in some patients.
Some people have found some relief from pollen extract (Cernitin) and allopurinol, although research does not confirm their benefit. Stool softeners may be recommended to reduce discomfort with bowel movements.
Transurethral resection of the prostate may be done in rare cases if medicine does not help. This surgery is not usually done on younger men, because it may cause retrograde ejaculation. This can lead to sterility, impotence, and incontinence.
Warm baths may help relieve some of the pain. A number of other treatments have been used, such as prostate massage, acupuncture, and relaxation exercises. However, none of these therapies have been proven to help.