Chronic nonbacterial prostatitis, also known as chronic pelvic pain syndrome, causes pain and urinary problems involving a man's prostate gland, urinary tract and genitals, according to MedlinePlus. This form of prostatitis is not caused by a bacterial infection, but its exact cause is unknown, according to the American Urological Association Foundation. Its symptoms include chronic pain in the genitals, anus, low back or above the pubic bone; pain during urination or bowel movements or ejaculation; or increased or decreased urination. This disease is difficult to cure, but with treatment, symptoms can often, though not always, be managed.
Drugs
Many doctors prescribe antibiotics for this form of prostatitis just to make sure that it isn't caused by a bacterial infection, according to MedlinePlus. But this doesn't work for many men and should be discontinued if the patient isn't getting any relief.
Some men benefit from alpha-adrenergic blockers that help to relax the muscles of the prostate gland. It usually takes about six weeks for these drugs to start working. Others get pain relief from over-the-counter painkillers such as aspirin or ibuprofen. If there is pain with bowel movements, a stool softener can help. Sometimes bee pollen or other alternative remedies are prescribed though they are unproven, according to MedlinePlus.
Surgery
In cases that don't respond to other treatment, sometimes the prostate is surgically removed to eliminate symptoms, according to MedlinePlus. However this procedure carries the risk of sterility, impotence and incontinence. For this reason, it isn't considered a good option for young men.
Alternative Remedies
Some men relieve their pain with warm baths or a heating pad or hot water bottle, according to the American Urological Association Foundation. Others report that massaging the prostate, acupuncture, or relaxation exercises have helped them but there is no hard evidence that these treatments work, according to MedlinePlus.
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