Chronic nonbacterial prostatitis causes long-term pain and urinary symptoms. It involves the prostate gland or other parts of a man's lower urinary tract or genital area. This condition is not caused by an infection with bacteria.
NBP; Prostatodynia; Pelvic pain syndrome; CPPS; Chronic nonbacterial prostatitis; Chronic genitourinary pain
Possible causes of nonbacterial prostatitis include:
Life stresses and emotional factors may play a part in the problem.
Most men with chronic prostatitis have the nonbacterial form.
Symptoms may include:
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:
Some people have found some relief from pollen extract (Cernitin) and allopurinol. But 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. In most cases, this surgery is not done on younger men. It may cause retrograde ejaculation. This can lead to sterility, impotence, and incontinence.
Other treatments that may be tried include:
Mikio Sugimoto is in Ikenobe, Japan. Sugimoto is rated as an Elite expert by MediFind in the treatment of Nonbacterial Prostatitis. He is also highly rated in 5 other conditions, according to our data. His top areas of expertise are Nonbacterial Prostatitis, Prostate Cancer, Bacterial Prostatitis, and Bladder Cancer.
Junsheng Liu is in Puerto Rico. Liu is rated as an Elite expert by MediFind in the treatment of Nonbacterial Prostatitis. They are also highly rated in 2 other conditions, according to our data. Their top areas of expertise are Nonbacterial Prostatitis, Bacterial Prostatitis, and Osteoporosis.
Michiko Oka is in Kyoto, Japan. Oka is rated as a Distinguished expert by MediFind in the treatment of Nonbacterial Prostatitis. She is also highly rated in 3 other conditions, according to our data. Her top areas of expertise are Nonbacterial Prostatitis, Bacterial Prostatitis, Enlarged Prostate, and Bladder Outlet Obstruction.
Many people respond to treatment. However, others do not get relief, even after trying many things. Symptoms often come back and may not be treatable.
Untreated symptoms of nonbacterial prostatitis may lead to sexual and urinary problems. These problems can affect your lifestyle and emotional well-being.
Contact your health care provider if you have symptoms of prostatitis.
Published Date : July 26, 2021
Published By : Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Carter C. Urinary tract disorders. In: Rakel RE, Rakel DP, eds. Textbook of Family Medicine. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 40.
Kaplan SA. Benign prostatic hyperplasia and prostatitis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 120.
McGowan CC. Prostatitis, epididymitis, and orchitis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 110.
Pontari M. Inflammatory and pain conditions of the male genitourinary tract: prostatitis and related pain conditions, orchitis, and epididymitis. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 56.