Prostatitis
Hello Dr.
Pan: My father is 73 years old.
Two weeks ago, after taking medication for a cold, he was unable to urinate.
He went to the hospital and had a catheter inserted, which has not yet been removed.
The doctor diagnosed him with prostatitis and noted that his prostate is enlarged.
Aside from surgery, are there any other treatment options available? Thank you for your response, Dr.
Pan.
I appreciate your hard work! Judy April 30, 2003.
Judy, 30~39 year old female. Ask Date: 2003/04/30
Dr. Pan Zhenqin reply Urology
Judy: Acute prostatitis can lead to acute enlargement of the prostate.
Additionally, taking cold medications, especially antihistamines for runny nose, can inhibit the contraction of the bladder detrusor muscle, causing patients with benign prostatic hyperplasia who were still able to urinate to temporarily experience urinary retention.
In such cases, catheterization may be necessary.
However, once the inflammation is controlled or the medication is discontinued, most patients can return to treatment with prostate medications.
Of course, if this situation recurs, it indicates that the relationship between bladder function and prostate obstruction is at a critical point.
Over time, this can be detrimental to both the bladder and kidneys, so surgical intervention is recommended.
If surgery is not suitable due to the patient's condition or other factors, medications like tamsulosin can be used (though this only temporarily reduces prostate size and has some limitations regarding usage and insurance coverage), or thermal therapy or laser treatment may be considered.
Nevertheless, transurethral resection of the prostate (TURP) generally provides better and more lasting results.
You can discuss this with your father's attending physician.
Reply Date: 2003/04/30
More Info
Hello Judy,
Thank you for your inquiry regarding alternative treatments for prostatitis, especially in the context of your father's recent diagnosis. Prostatitis, particularly chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), can be a challenging condition to manage, and while surgery is one option, there are several non-surgical treatments that may provide relief and improve quality of life.
1. Medications: Beyond antibiotics, which are often used for bacterial prostatitis, there are other medications that can help manage symptoms. Alpha-blockers, such as Tamsulosin, can help relax the muscles around the prostate and bladder neck, improving urine flow and reducing symptoms of urinary obstruction. Additionally, anti-inflammatory medications or pain relievers may be prescribed to alleviate discomfort.
2. Physical Therapy: Pelvic floor physical therapy can be beneficial for men with prostatitis. This therapy focuses on strengthening and relaxing the pelvic floor muscles, which can help reduce pain and improve urinary function. A trained physical therapist can provide exercises and techniques tailored to your father's specific needs.
3. Lifestyle Modifications: Encouraging your father to make certain lifestyle changes can also help manage symptoms. This includes staying hydrated, avoiding irritants such as caffeine, alcohol, and spicy foods, and practicing stress-reduction techniques. Regular exercise and maintaining a healthy weight can also contribute to overall well-being.
4. Heat Therapy: Applying heat to the pelvic area can help relieve pain and discomfort associated with prostatitis. This can be done through warm baths, heating pads, or other heat application methods.
5. Dietary Supplements: Some patients find relief with dietary supplements such as saw palmetto, beta-sitosterol, or quercetin. However, it's essential to consult with a healthcare provider before starting any new supplement, as they can interact with other medications or conditions.
6. Alternative Therapies: Acupuncture and biofeedback have been explored as alternative treatments for chronic pelvic pain and prostatitis. While research is still ongoing, some patients report positive outcomes with these therapies.
7. Extracorporeal Shock Wave Therapy: This is a newer treatment option that has shown promise in reducing pain and improving urinary symptoms in patients with chronic prostatitis. It involves using shock waves to promote healing in the prostate area.
8. Psychological Support: Chronic prostatitis can lead to psychological distress, including anxiety and depression. Counseling or therapy can be beneficial in addressing these emotional aspects and improving coping strategies.
9. Regular Follow-Up: It's crucial for your father to have regular follow-ups with his healthcare provider to monitor his condition and adjust treatment as necessary. This ongoing communication can help identify what works best for him and ensure that any complications are addressed promptly.
In conclusion, while surgery is one option for treating prostatitis, there are numerous alternative treatments available that can help manage symptoms and improve quality of life. It's essential to work closely with a healthcare provider to develop a comprehensive treatment plan tailored to your father's specific situation. Encourage him to discuss these options with his doctor to find the most suitable approach for his needs.
Best wishes for your father's health and recovery!
Sincerely,
Doctor Q&A Teams
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