What are the treatment options in Singapore for non-bacterial chronic prostatitis?

Doctor's Answers (1)

Dr Ronny Tan Ban Wei

"Urologist fellowship trained in Andrology & Prosthetic Urology"

Treatment for non-bacterial chronic prostatitis would depend on the symptoms that the man is bothered with.

We usually divide these symptoms into the acronym UPOINT.

  • Urinary
  • Psychosocial
  • Organ-specific
  • Inflammatory
  • Neurogenic
  • Tenderness

Treatment options range from medical treatment including:

  • Analgesia (painkillers)
  • Neuropathic drugs (for severe, nerve pains)
  • Alpha-blockers
  • 5-alpha reductase inhibitors (commonly used to treat urinary symptoms in older men with enlarged prostates)
  • PDE-5 inhibitors (commonly used for treating erectile dysfunction but low doses have been shown to aid in the inflammatory nature of chronic prostatitis).

The most recent treatment would be the use of low-intensity extracorporeal shockwave treatment (LiESWT) for this condition. This procedure is done in the outpatient clinic settings and would need up to 6 sessions per treatment cycle.

Non-bacterial chronic prostatitis is not an easy condition to treat and different men will benefit from different treatment modalities and even a combination of many of the above-mentioned treatments. 

Before a man is deemed to have non-bacterial chronic prostatitis, he would have to be evaluated appropriately before the best treatment can be tailored for him.

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