Treatment for nonbacterial prostatitis is difficult. The problem is hard to cure, so the goal is to control symptoms.
Several types of medicines may be used to treat the condition. These include:
- Long-term antibiotics to make sure that the prostatitis is not caused by bacteria. However, people who have had symptoms for a long time that are not helped by antibiotics should stop taking these medicines.
- Drugs called alpha-adrenergic blockers help relax the muscles of the prostate gland. It often 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), which may relieve symptoms for some men.
Some people have found some relief from pollen extract (Cernitin) and allopurinol, although research does not confirm their benefit. Stool softeners may help reduce discomfort with bowel movements.
Surgery, called 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.
Other treatments that may be tried include:
- Warm baths to ease some of the pain.
- Prostate massage, acupuncture, and relaxation exercises. However, none of these therapies have been proven to be effective.