Chronic Prostatitis: Symptoms and Prevention Tips - Urology

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About the prostate gland?


Doctor, may I ask if the symptoms of chronic prostatitis are usually noticeable? Additionally, how can one take care of the prostate to avoid prostatitis or prevent future prostate enlargement?

DD, 10~19 year old female. Ask Date: 2013/08/18

Dr. Xu Weikai reply Urology


Hello, chronic prostatitis has some clinical manifestations that may not appear in everyone.
To prevent prostatitis, it is recommended to drink plenty of water, aiming for about 3000 cc of plain water daily, and to avoid sugary beverages.
Benign prostatic hyperplasia cannot be prevented.
If you have any further questions, feel free to ask, and we can discuss and research together.
Please note that online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
This message is brought to you by Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2013/08/18

More Info


Chronic prostatitis, particularly chronic pelvic pain syndrome (CPPS), can manifest with a variety of symptoms that may not always be overtly apparent. Patients often experience discomfort in the pelvic area, including pain in the perineum, lower abdomen, and sometimes even the lower back or thighs. Other common symptoms include urinary issues such as increased frequency, urgency, and painful urination. In some cases, men may also experience sexual dysfunction, including painful ejaculation or erectile difficulties.
The symptoms of chronic prostatitis can fluctuate, leading to periods of exacerbation and remission. This variability can make it challenging for patients to identify the condition, especially if symptoms are mild or intermittent. It is essential to consult a healthcare provider for a proper diagnosis and to rule out other potential causes of pelvic pain.

To maintain prostate health and potentially prevent the onset of prostatitis or prostate enlargement, several lifestyle modifications and preventive measures can be beneficial:
1. Stay Hydrated: Drinking plenty of water helps flush out the urinary system and can prevent urinary tract infections, which may contribute to prostatitis.

2. Dietary Choices: A balanced diet rich in fruits, vegetables, whole grains, and healthy fats can support overall health. Some studies suggest that diets high in antioxidants and omega-3 fatty acids may be beneficial for prostate health. Conversely, it is advisable to limit the intake of spicy foods, caffeine, and alcohol, as these can irritate the bladder and prostate.

3. Regular Exercise: Engaging in regular physical activity can improve circulation and reduce stress, both of which are beneficial for prostate health. Activities like walking, swimming, and cycling (with caution) can be helpful. However, high-impact activities that put pressure on the pelvic area, such as long-distance cycling, should be approached with caution.

4. Pelvic Floor Exercises: Kegel exercises, which strengthen the pelvic floor muscles, may help alleviate some symptoms associated with prostatitis. These exercises can improve bladder control and reduce pelvic pain.

5. Avoiding Irritants: Reducing or eliminating the use of tobacco and limiting alcohol consumption can help prevent irritation of the prostate and urinary tract.

6. Stress Management: Chronic stress can exacerbate symptoms of prostatitis. Techniques such as mindfulness, yoga, and meditation can be effective in managing stress levels.

7. Regular Check-ups: Regular visits to a healthcare provider for prostate health screenings can help catch any issues early. Discussing any symptoms or concerns with a doctor can lead to timely interventions.

8. Medication and Supplements: Some men may benefit from supplements like saw palmetto or beta-sitosterol, which are thought to support prostate health. However, it is essential to consult a healthcare provider before starting any new supplements or medications.

9. Sexual Health: Maintaining a healthy sexual lifestyle, including safe sexual practices, can also be beneficial. Regular ejaculation, whether through sexual activity or masturbation, may help reduce the risk of prostatitis.

In summary, while chronic prostatitis can present with various symptoms that may not always be obvious, proactive measures can be taken to support prostate health and potentially prevent future issues. If symptoms persist or worsen, it is crucial to seek medical advice for appropriate evaluation and treatment. Regular communication with a healthcare provider can help manage symptoms effectively and improve quality of life.

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