Overview

There are four types:

• Acute bacterial
• Chronic bacterial
• Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)
• Asymptomatic inflammatory prostatitis

Causes

• Bacterial infection (E. coli, Klebsiella)
• Urine reflux into prostate ducts
• Autoimmune or neurological causes
• Sexually transmitted infections (sometimes)

Symptoms

• Painful urination, pelvic pain
• Pain in perineum, testicles, lower back
• Painful ejaculation
• Frequent or urgent urination
• Fever, chills (acute type)

Treatment: Modern Medicine

• Diagnosis: DRE (digital rectal exam), urine test, PSA, ultrasound
• Treatment:
  • Antibiotics (fluoroquinolones, doxycycline)
  • Alpha-blockers for urinary flow
  • NSAIDs for pain
  • Sitz baths and pelvic relaxation

Treatment: Traditional Medicine

• Ayurveda: Gokshura, Shilajit, Varunadi kwath
• Siddha: Veliparuthi, Neermulli
• Unani: Habb-e-Mudir, Majoon Dabeed-ul-Ward
• TCM: Yi Zhi Ren, Fu Ling for damp-heat in lower burner
• Homeopathy: Sabal serrulata, Thuja, Chimaphila
• Nutraceuticals: Saw palmetto, Zinc, Quercetin

Caution

• Avoid delaying treatment for acute bacterial prostatitis
• Chronic cases require long-term management

Prevention

• Stay hydrated
• Safe sexual practices
• Avoid prolonged sitting and constipation