Chronic prostatitis treatment

Chronic prostatitis treatment in Turkey

Treatment of chronic prostatitis is a serious and important matter for men because chronic prostatitis may lead to prostate cancer and impotence, and Turkey is the best place to treat such condition.

Treatment of chronic prostatitis is no longer an impossible matter, as it has become possible to treat it in Turkey using the latest methods available in the world, and because Symptoms of chronic prostatitis are insidious and widely seen in many diseases that cause pelvic pain, so diagnosing this condition requires the best expert hands in Turkey.

Treatment of chronic prostatitis can prevent many of the problems associated with this condition. The patient has several questions to ask the doctor, what is the most potent antibiotic for treating chronic prostatitis? Is it possible to treat chronic prostatitis permanently? Follow us in this article.

What is prostatitis and how is chronic and acute prostatitis treated in Turkey?

Prostatitis is a common, often painful condition that can affect men of all ages.

 Pelvic pain in and around the prostate may be from:

  • Bacterial infection caused by bacteria.
  • Inflammation of the area (redness, swelling) from an injury or infection.
  • Some other problems.
The normal position of the prostate gland
Prostate positioning

The prostate is a small, walnut-shaped gland that is part of the male reproductive system. Located under the bladder and in front of the rectum, the prostate is surrounded by muscles and nerves.
The urethra (the tube that carries urine and sperm out of the body) passes through the prostate gland.

The prostate's main job is to help make the fluids needed for semen. This fluid protects and nourishes the sperm until it implants in the egg.

Symptoms of prostatitis

These symptoms differ according to the type of inflammation, as the symptoms of chronic prostatitis vary significantly from acute inflammation or if the inflammation is associated with other conditions.

There are 4 types of prostatitis:

1. Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS)

CP/CPPS is the most common type of prostatitis, but it is not an infection or sepsis.

The patient usually comes with urination problems, pain, and burning, and there can also be a pain in the bladder, testicles, penis, even when ejaculating, and even erection problems.

2. Chronic bacterial prostatitis

Chronic bacterial prostatitis is uncommon and requires urine and prostate bacteria cultures to check for this type of infection.
Its most important sign is that it comes and goes frequently over a long period of time.

The patient often comes with a feeling of burning during urination, and he also has urge incontinence, in addition to unpleasant secretions from the penis, with the urine being foul-smelling due to the presence of infection.
Pain with ejaculation is common, and the infection may have spread to the rest of the organs, so it must be treated quickly.

3. Acute (sudden) prostatitis

Acute bacterial prostatitis is also an uncommon type, requiring a urine test to see if any bacteria are present.
Symptoms appear suddenly and can sometimes be painful.

Symptoms of acute simple prostatitis include:

  • goosebumps
  • fever
  • Very painful burning while passing urine
  • Incomplete bladder emptying

4. Non-bacterial prostatitis

Non-bacterial prostatitis is inflammation with no symptoms. It is not an infection. You will not have any symptoms with this type of prostatitis.

Inflamed and swollen prostate gland
A picture showing an inflamed prostate and a defect in its secretion

Causes of prostatitis in men and young people

It's not clear what causes most cases of prostatitis.
Most often, local inflammation in the prostate irritates the nerves and muscles in the pelvis which causes pain and less commonly, a bacterial infection.
It may take some tests to find out precisely what the cause is.

Bacterial prostatitis results from a bacterial infection of the prostate.
Bacteria can enter the prostate when infected urine containing the germs flows backward from the urethra.

Nonbacterial prostatitis may be associated with stress, nerve inflammation, or irritation after a UTI.
Or it may happen if your body is still reacting to an infection or injury that occurred in the past.
This form of prostatitis has no signs of bacteria in urine or seminal fluid.

Other pelvic pain may also result from:

Diagnosis of prostatitis in Turkey

Each type of prostatitis requires a different treatment.

Your doctor will want to know the exact cause of your symptoms. To find the answers, more than one type of examination will be used:

  • Clinical history and physical examination: Your doctor may perform a rectal exam (DRE). This is done by manually examining the prostate from the rectum. Your doctor will squeeze and feel the prostate to see if it is normal or large, hard or soft, and this examination can predict prostate cancer.
  • General tests.
  • Ultrasound imaging.
  • Urine and prostate fluid tests: When the prostate is massaged during a DRE, a fluid called expressible prostatic secretion (EPS) comes out of the penis. The urine and EPS are checked to see if there is a bacterial infection or inflammation.
  • If you're at risk of developing cancer, your doctor may order a blood test to check your prostate-specific antigen (PSA) level. Still, your PSA result can be slightly elevated if you have a prostate infection.
  • UrethroscopyBinoculars: A long, thin telescope with a light at the end.
  • Study of urine flow velocity (urodynamics).

Chronic prostatitis treatment

Treatment for chronic prostatitis depends on which type you have.

To treat acute bacterial prostatitis, you must take antibiotics for at least 14 days, and almost all acute infections are treated this way.

Sometimes, you must stay on antibiotics for up to four weeks.
If one antibiotic doesn't work, your doctor will try another.

Treatment of chronic bacterial prostatitis in Turkey/ Istanbul

For chronic bacterial prostatitis, you'll need to take antibiotics for a longer period, most often for 4 to 12 weeks.
About three-quarters of chronic bacterial prostatitis cases are treated this way.
For cases that do not respond to this treatment, long-term low-dose antibiotics are used to relieve symptoms.

What is the most powerful antibiotic for the treatment of chronic prostatitis?

It is the antibiotic that is chosen after the bacteria culture process to identify the germ that is causing this infection and to use the appropriate antibiotic for it. studies recently indicated the antibiotic fosfomycin's efficacy in treating chronic bacterial prostatitis.

Treatment of chronic prostatitis associated with chronic pelvic pain syndrome (CP/CPPS).

Because the exact cause of CP/CPPs is unknown, some doctors may give antibiotics even if your tests don't prove that bacteria are the cause.
Other times, doctors may give anti-inflammatory drugs or medications that reduce nerve pain.

Alpha-blockers for the treatment of chronic prostatitis

Some doctors give medications called alpha-blockers to help you feel better.
These medications help relax the muscles around the prostate and the base of the bladder.

Anti-inflammatory agents for the treatment of chronic prostatitis

Nonsteroidal anti-inflammatory drugs (NSAIDs) may make you more comfortable, these are pain medications (aspirin, ibuprofen, etc.) and muscle relaxants.

Prostate massage for chronic prostatitis

Prostate massage can help relieve pressure in the prostate. This is done by drawing fluid out of the prostate ducts, while physical therapy may relax nearby muscles.

Home remedies and other techniques to reduce pain

Hot baths, hot water packs, or warm compresses may also help relieve pain.

Relaxation exercises and caring for food also may relieve some of your symptoms.
Your doctor may suggest that you stop eating and drinking certain foods. This may include spicy or acidic foods, caffeinated beverages, or alcoholic beverages.

They may recommend drinking more water and eating more fresh/unprocessed foods and less sugar. they may also suggest that you stop doing things that can worsen your pain (such as cycling).

Treatment of chronic prostatitis with herbs

There is no evidence that herbs and supplements improve prostatitis.
Options that have been tried and failed to help treat prostatitis include the commercial herb (Cernilton), a chemical found in green tea, onions, and saw palmetto extract.
Dietary supplements can affect other treatments, so if you want to try herbal supplements, please tell your doctor first.

Treatment of chronic prostatitis with acupuncture

Some men use acupuncture to reduce pain. Acupuncture involves inserting very fine needles through the skin into different depths of the body. Of course, so far, there is no scientific evidence for it.

Surgery to treat chronic prostatitis

In rare cases, surgery on the urethra or prostate may be needed. There must be a subtle problem with the body, such as a scar in the urethra, or Complete prostatectomy through the urethra.

Most cases of acute bacterial prostatitis are treated with medication.

Unfortunately, CP/CPPS is not easy to treat. In most cases of CP/CPPS, if antibiotics are used, the drugs may have trouble getting to and killing the bacteria deep in the prostate.

The latest methods of treating prostatitis permanently in Turkey

Turkey has evolved dramatically in recent times and has developed and modernized its hospitals and trained medical personnel specialized in all fields to provide the best medical service at the best prices.

Among the latest treatment methods in Turkey:

TUMT (Transurethral Microwave Therapy) for Chronic Prostatitis

Microwave treatment of chronic prostatitis is one of the latest treatment methods in Turkey
Microwave therapy for chronic prostatitis is a minimally invasive treatment method that uses microwave energy

One of the newest treatment methods in the treatment of prostatitis. Non-surgical TUMT treatment is used in patients with an enlarged prostate or chronic prostatitis, where practical, safe, and permanent results are obtained without surgery.

Transurethral radiofrequency therapy for the prostate is a minimally invasive treatment method that uses microwave energy to shrink the sections that have enlarged prostate tissue and to eliminate inflamed tissue in chronic prostatitis.

Transurethral Heatwave Therapy TUMT is an outpatient procedure to treat urinary symptoms caused by an enlarged prostate.

In this treatment, a doctor inserts a urinary catheter with a microwave generator on the tip through the urinary opening.
The catheter is sent through the urethra, and TUMT uses a dose of microwave energy, heating and destroying excess prostate cells.

The goal of this treatment is to reduce the size of the prostate and improve symptoms. TUMT offers effective, reliable, and permanent solutions and the patient can go home on the day of TUMT.

With this method of treatment, it is also possible to treat an enlarged prostate, as the treatment success rate is 90% through transurethral thermowave therapy (TUMT) without surgery.

With this treatment, prostates weighing more than 100 grams can be treated easily. Studies have shown that the treatment is successful even in prostates weighing 150 grams. The largest prostate treated so far is 287 grams.

according to A study Performed in Belgium, the treatment success rate for chronic prostatitis is about 88% for patients who have not been cured by conventional methods.

Read also on our site about: Ultrasound treatment for prostate cancer.

Prostate injection to treat chronic prostatitis

Prostate injection to treat chronic prostatitis
Prostate injection to treat chronic prostatitis

In patients with chronic bacterial prostatitis who have fibrous areas of the prostate, a combination of an antibiotic and a corticosteroid is injected directly into these areas.

Whereas traditional treatments with antibiotics may be used for a specific period of time, there is a high probability of recurrence of infection in these foci. The antibiotic given in the prostate is 2500 times higher than oral or intravenous administration. This increases the healing power.

Many types of research have also been developed in Turkey to find out the Causes of enlarged prostate at an early ageIn addition to many different treatments, whether for benign prostatic hyperplasia or prostate cancer, with several different approaches and surgical methods, such as:

I was cured of chronic prostatitis and my experience with chronic prostatitis

Patient Henry Astaire (a patient with pelvic pain and chronic prostatitis) shares his story and experience with chronic prostatitis, he says:

I thought I had prostate cancer, especially since those my age are highly susceptible to this disease, but the results came out negative, and I remained puzzled about the cause of the pain. Doctors prescribed me several antibiotics, and mostly they did not work. I read several books and articles about my condition and found that meditation and exercise are the best. The best solution for me is to look at the pain from a different perspective. I discovered that the pain increases due to stress and tension, and chronic prostatitis treatment remains a medical or surgical treatment in most cases.

Additional facts about treating chronic prostatitis

  • Getting a proper diagnosis is key to prostatitis care.
  • Prostatitis does not always involve the prostate; the problem may be in nearby tissues.
  • There is still a chance, even if it is very small compared to the old treatments, that you will not be cured of prostatitis, but its symptoms can be managed.
  • You should follow the treatment even if you feel better.
  • Patients with prostatitis are at a higher risk of getting prostate cancer according to studies.
  • There is no reason to stop regular sex unless it bothers you.
  • You can live a reasonable normal life with prostatitis.

In the end, we can say that the treatment of chronic prostatitis has several methods in Turkey and that chronic prostatitis has become a simple condition that can be treated, unlike before. the therapy relies heavily on the patient’s cooperation with the doctor to eliminate this bothersome disease.


  1. Urology health
  2. Harvard health
  3. Medscape

Frequently Asked Questions

  • A burning feeling while passing urine
  • The need to urinate often
  • Pain in the bladder and penis, and in the area between the root of the penis and the anus
  • Pain with ejaculation
  • foul-smelling urine
  • Secretions from the penis

Medicines used in the treatment of chronic prostatitis:

  • Antibiotics
  • Alpha-blockers
  • Anti-inflammatories
  • Sometimes antidepressants

Unfortunately, so far there is no clear study on the possibility of treating chronic prostatitis with herbs.

Prostatitis does not affect reproduction and does not cause infertility, but it can affect a man's sexual functions, as mentioned in studies.

If you are planning for treatment in Turkey
you can talk to us here.

If you are planning for treatment in Turkey
you can talk to us here.