Doctors might find it harder to treat nonbacterial prostatitis because antibiotics only work on bacteria. The condition, essentially an inflammation of the prostate gland, can have causes the doctor might not know. Parasites, viruses, fungi, stress and sexual abuse all can contribute to nonbacterial prostatitis, according to Medline Plus, a medical information resource established by the U.S. National Library of Medicine. The condition continues for a long time and can produce such symptoms as blood in the urine or semen, pain in the penis, scrotum, lower back and elsewhere, as well as causing urination difficulties.
Step 1
Seek help from your doctor. He can prescribe medications such as terazosin, tamulosin and doxazosin, all classified as alpha-adrenergic blockers, that can help to control the symptoms of nonbacterial prostatitis. These medications act as relaxants for the muscles at the prostate gland. MedlinePlus reports these medications typically begin to offer relief from symptoms within six weeks.
Step 2
Take nonsteroidal anti-inflammatory drugs to help reduce the inflammation as well as the pain associated with chronic nonbacterial prostatitis. Over-the-counter NSAIDs include naproxen sodium, ibuprofen and aspirin. For stronger NSAIDs such as celecoxib and etodolac, your doctor needs to write a prescription. MedlinePlus indicates these types of medications do not work for every man suffering from this condition, but it does work for some.
Step 3
Try allopurinol as a possible reliever of nonbacterial prostatitis symptoms. This prescription-level medicine typically works in people who suffer from gout, a form of arthritis. The drug works to cause your body to create less uric acid, MayoClinic.com reports. According to MedlinePlus, this form of medicine can produce some relief, but the success of the treatment might occur as a limited phenomenon. Allopurinol can some less common or rare side effects.
Step 4
Consider the use of stool softeners, MedlinePlus recommends. Because chronic nonbacterial prostatitis can interfere with bowel movements, a stool softener can help make it easier to defecate without discomfort. The prostate gland, which surrounds the urethra, the tube leading from the bladder out to the penis to remove urine, it also can press upon the bowels. The pain from prostatitis can radiate outward to cause pain during defecation.
Step 5
Take a warm bath. MedlinePlus suggests this can help reduce pain in the lower back and the perineal area between the anus and the scrotum.
Step 6
Talk with your doctor about surgery if the problem of chronic nonbacterial prostatitis becomes too difficult to bear and medications do not help. MedlinePlus states surgeons rarely perform this surgery, called transurethral resection, because of potential sexual consequences such as infertility and impotence. It also can lead to incontinence.
Things You'll Need
- Talk with doctor
- Prescribed medications
