Best Doctor For Chronic Prostatitis

What Is The Best Treatment For Chronic Prostatitis

Chronic prostatitis is also called chronic pelvic pain syndrome . It is a kind of non-bacterial prostatitis. Most of the men with prostatitis have chronic prostatitis. Some symptoms are the same as bacterial prostatitis. The difference lies in that the test result does not show the existence of bacteria in chronic prostatitis. It is very hard for doctors to know what non-bacterial causes are therefore it not easy to treat men with chronic prostatitis. Possible causes like pelvic muscle problem, pelvic tension disorder, dietary and sexual habits, immune disorder and environment factors will be considered. Currently, there are various options of treatment for chronic prostatitis including antibiotics, pain medication, surgery, warm sitz bath, transurethral microwave thermotherapy, prostate massage and herbal medicines. For patients, which one is the best treatment for chronic prostatitis?

Although there are various therapies for chronic prostatitis, the main two are western medication and traditional Chinese herbal therapy. Compared with the western medications, the herbal therapy helps cure chronic prostatitis from the root without any side effects. It not only help to improve the condition of chronic prostatitis but also bring benefits to the health of prostate. We can see the herbal medicine is the best treatment for chronic prostatitis.

Make Some Lifestyle Changes

There are a number of things you can try that other men have found helpful. You might want to plan your day more, to allow for things like toilet trips. Trying different things can help you feel more in control, and that you are actively doing something to improve your health. If one thing doesnt work, try something else. Here are some suggestions.

• Watch what you drink. Drink plenty of fluids about six to eight glasses of water a day. And cut down on fizzy drinks, artificial sweeteners, alcohol and drinks that contain caffeine as these can irritate the bladder and make some urinary problems worse.
• Watch what you eat. Some foods may make your symptoms worse. Try to work out what these are so you can avoid them. Theres some evidence that spicy foods can make the symptoms of CPPS worse.
• Avoid cycling. Its a good idea to avoid activities that put pressure on the area between your back passage and testicles , such as cycling. They can make symptoms worse. If you want to keep cycling, you could try using a different saddle, such as one made from gel.
• Keep a diary. This can help you spot things that make your symptoms worse, and can be a useful way of showing your doctor what youre experiencing. Record things like food, drink, exercise, how stressed you feel and your symptoms.

Treatment Options For Perineal Pain At New York Urology Specialists

• Disease-specific Treatment
• Surgical Treatment diagnosis and symptom-related
• Oral, Intravenous, Intramuscular, intra-prostatic antibiotic injections

Did you know?Dr. Shteynshlyugerhas treated thousands of men with pelvic pain and bladder pain, perineal pain, penile pain, scrotal pain, testicular pain, kidney pain, prostatitis, and prostate pain. He performs 150-200 surgeries a year.

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Why It Pays To See A Prostate Expert

Prostatitis can be easy to misdiagnose. Because the cause of prostate symptoms isnt always clear, doctors will often diagnose prostatitis because its the most likely option. For this reason, its best to see a urologist to see if youre having prostate or urinary symptoms. Many doctors give patients antibiotics hoping for a good response, but often this complicates the issue even further.

Dr. Bevan-Thomas has the expertise and determination to get to the bottom of your symptoms and ensure that you get the correct diagnosis. He will then discuss your treatment options with you in clear, easy-to-understand terms.

Cost Of Treatment And Insurances

At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.

We accept many health insurance plans. We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plans coverage. and credit options are available to help you pay for medical care.

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What You Need To Know About The Treatment Of Prostatitis

• Prostatitis is an inflammatory disease of the prostate gland, which can be caused by both infections and other reasons , in which stagnation of the prostate secretion occurs.
• Inflammation of the prostate can be acute or chronic. In acute prostatitis, the symptoms of the disease occur for the first time and are more intense. Proper selection of medicines makes possible a complete cure . In case of a late visit to the doctor or ineffectiveness of treatment, an acute process can turn into a chronic one. In chronic prostatitis, two phases of the course of the disease are distinguished: exacerbation and remission.
• The main task in this disease is to enter the process into the remission phase and prevent exacerbation.
• The most common symptoms are : fever, weakness, pain in the perineum, painful and / or intermittent urination, erectile dysfunction.
• Laboratory diagnostics includes analysis of blood and urine, prostate secretion, analysis for sexually transmitted infections. Instrumental diagnostics: uroflowmetry , ultrasound of the prostate and pelvic organs, survey urography. For treatment, antibiotics are prescribed in combination with symptomatic treatment.

Which Doctors And Clinics Are Specialized In Prostate Inflammation

Every patient who needs a doctor wants the best medical care. Therefore, the patient is wondering where to find the best clinic. As this question cannot be answered objectively and a reliable doctor would never claim to be the best one, we can only rely on the doctorâs experience.

We help you to find an expert for your disease. All listed doctors and clinics have been reviewed by us for their outstanding specialization in prostate inflammation and are awaiting your inquiry or treatment request.

• âProstatitis und männliches Beckenschmerzsyndrom â Diagnostik und Therapieâ, Dtsch. Ãrzteblatt, 2009
• âUrogenitale Infektionen als Risiko für männliche Infertilitätâ, Dtsch. Ãrzteblatt, 2017
• Urologie, Hautmann und Huland, Springer Verlag 2006
• RKI, Heft 36 Prostataerkrankungen

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Are There Complications Of Prostatitis

Yes. They can include:

• Abscessa collection of pus in the prostate.
• Sexual dysfunction.
• Bacteremia/sepsisa bacterial infection of the blood or the immune systems reaction to it .

These prostatitis complications can be severe. If you have urinary symptoms that are more than a little bothersome, make an appointment right away.

How Is Prostatitis Treated

Treatment depends on the type of prostatitis you have.

If acute bacterial prostatitis is diagnosed, you will need to take antibiotics for a minimum of 14 to 21 days. Sometimes, this means being admitted to the hospital and being given intravenous antibiotics at the start. A catheter is sometimes required if you have difficulty urinating. Almost all acute infections can be cured with this treatment. Frequently, the antibiotics will be continued for as long as four weeks.

If chronic bacterial prostatitis is diagnosed, antibiotics will be required for a longer period of time, usually four to 12 weeks. About 75 percent of all cases of chronic bacterial prostatitis clear up with this treatment. Sometimes the symptoms recur and antibiotic therapy is again required. For cases that do not respond to this treatment, long-term, low dose suppressive antibiotic therapy may be recommended to relieve the symptoms.

Depending on your symptoms you may receive one of a variety of other treatments including alpha-blockers, anti-inflammatory drugs, muscle relaxants, plant extracts and repetitive prostatic massage .

Various heat therapies, biofeedback and relaxation exercises may alleviate some of the symptoms. You may be advised to discontinue some foods and drinks and avoid circumstances that exacerbate the problem. Once a correct diagnosis has been made, one of the best therapies may be that of reassurance that the patient does not have a life-threatening condition.

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Transrectal Ultrasound In Cp/cpps

Imaging studies using Doppler ultrasonography have shown CP/CPPS to be associated with significantly increased prostatic blood flow . Transrectal ultrasound can also identify seminal vesicle or ejaculatory duct abnormalities. This imaging technique may be useful in evaluating patients with ejaculatory pain or hematospermia . However, the clinical significance of this finding must be further evaluated before this method can be used as a diagnostic tool.

Pitfalls And Perils Of Prostatitis

The Problem Physician. Urologists, as a profession, tend to treat prostatitis as the black sheep of the prostate family of diseases. We perhaps feel that, if we ignore it, it will go away. We certainly hide this disease well, both from ourselves, the rest of the medical profession, and the public. While we trumpet our advances in prostate cancer, benign prostatic hyperplasia , stones, transplantation, and impotence, we have largely ignored our ignominious failures in prostatitis.

Urologists personal approaches to prostatitis fall into 6 categories:

This review will be of most value to the last group of urologists, but it is likely that all urologists yearn for a better understanding of this disease and will be happy to incorporate an effective management strategy into their therapeutic armamentariums.

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Scheduling Appointments For Prostatitis Pelvic And Perineal Pain Treatment At New York Urology Specialists

We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.

We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.

Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating men and women with pelvic pain, urinary pain, perineal pain, as well as chronic pelvic pain, and interstitial cystitis. He has performed hundreds of bladder, penile and testicular surgeries for relief of pain and other symptoms.

Can Complementary Therapies Help

Many men find complementary therapies help them deal with their symptoms and the day-to-day impact of their prostatitis, helping them feel more in control. Some men find they feel more relaxed and better about themselves and their treatment.

Complementary therapies are usually used alongside medical treatments, rather than instead of them. Some complementary therapies have side effects and some may interfere with your prostatitis treatment. So tell your doctor or nurse about any complementary therapies youre using or thinking of trying.

You should also tell your complementary therapist about your prostatitis and any treatments youre having, as this can affect what therapies are safe and suitable for you.

Some GPs and hospitals offer complementary therapies. But if you want to find a therapist yourself, make sure they are properly qualified and belong to a professional body. The Complementary and Natural Healthcare Council have advice about finding a therapist.

The following are examples of complementary therapies that some men use.

Be very careful when buying herbal remedies over the internet. Many are made outside the UK and may not be high-quality. Many companies make claims that arent based on proper research. There may be no real evidence that their products work, and some may even be harmful. Remember that even if a product is natural, this doesnt mean it is safe. For more information about using herbal remedies safely visit the MHRA website.

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What Research Is Being Done

Researchers are trying to find out more about prostatitis so that they can develop better treatments.

Theyre looking into the causes of CPPS and why it affects men differently. This includes looking at the genes involved. A better understanding of the causes will mean that, in the future, treatments can be tailored to suit each man.

Theyre also looking into different treatments. These include a number of medicines, botox, surgery, and using small electrical currents to reduce pain.

Another area of research is looking at ways to help men live with CPPS, such as cognitive behavioural therapy , and ways men can take more control themselves such as with diet and supplements.

At the moment, most of the research is happening in other countries, but if youre interested in taking part in a clinical trial, mention this to your doctor. There might be trials you can join in the future.

Our Clinic Is Operating In The Heart Of Athens As Greece Is Conveniently Located In The Centre Of Three Continents And Thus Is Equally Accessible For Patients From The Entire Globe We Have Unrivalled Expertise In The Issues Of Chronic Prostatitis For Men And Chronic Cystitis For Women World

Our Testimonials

1.5 years ago I came down with acute systemic symptoms of a urinary tract infection: burning urethra, throbbing pelvic pain, chronic migraine, intense fatigue and muscle aches. Notably, this was several days after unprotected sex with my girlfriend, who simultaneously came down with roughly the same symptoms, though vaginally also. We concluded immediately that the problem was microbial. My symptoms subsided, only to increasingly relapse over the following weeks. The treatment has been the hardest thing I have ever done. But Ive been rewarded with massive objective and subjective improvement. Objective results are nearly stabilized, my symptoms are nearly gone, and I expect to be 100% cured soon. I shall write back again after Im finished, with more details about Dr. Georgiadiss treatment protocol and its contrasts with current American urological practice.

Hey everyone, my name is George and I am 65 years old I live between Germany, Greece and China and I wanted to take the chance to share my experience too. I am an old patient of dr. Georgiadis and since then I visit him every year for an annual check up. Before finding Dr. Georgiadis, I had visited many doctors in Germany and China Until this day, so many years later, I am fully healthy and free of symptoms and I feel truly grateful to Dr. Georgiadis and I keep and will keep visiting him at least once a year for my checkup. He gave me my vitality back. Thank you for everything!

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Using Supplements For Prostatitis

Both NPAT and UPOINT employ the use of well-researched supplements. Phytotherapy, specifically, is one of the main naturopathic treatments for CP/CPPS. Some of the most researched Tier-1 phytotherapy supplements that have anti-inflammatory effects and promote pelvic health, include quercetin, pollen, and turmeric/curcumin, especially in combination with each other. Quercetin and pollen extracts are recommended as treatment for men whose UPOINT Domains indicate organ-specific prostatitis symptoms and/or pelvic spasm. These natural therapies have been well-validated in studies.

Treating Prostatitis Not Caused By Infection

Chronic non-bacterial prostatitis, also known as chronic pelvic pain syndrome , is inflammation of the prostate without any detectable infection. The cause is unknown, making it difficult to treat.

Even though no bacteria are implicated in this kind of prostatitis, a physician will sometimes prescribe antibiotics in case there is a hidden infection. Most often, however, therapy involves treating the symptoms. Options include:

• Over-the-counter pain medications like ibuprofen or naproxen
• Soaking in a hot bath
• Medications such as phenazopyridine , oxybutynin, or tolterodine to help with frequent, urgent, or painful urination
• Psychological counseling to help with the ongoing pain

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Diagnosis: How Is An Inflammation Of The Prostate Recognized

Acute bacterial prostatitis is noticed by its typical symptoms. During the rectal examination, the doctor will determine the enlargement of the prostate. To clarify an abscess, the doctor may perform an ultrasound examination. The urine contains large quantities of leukocytes . The diagnosis is confirmed by the detection of the pathogen in the medium jet urine. The PSA values are frequently elevated in the serum.

If chronic bacterial prostatitis is suspected, the doctor will first exclude a urinary tract infection. For this purpose, he compares the germ counts of urine, medium-stream urine, prostate secretion, and exprimate urine. Exprimate urine the urine collected after a prostate massage. In prostate secretion or exprimate urine, the germ count must be ten times higher than in urine. Besides, an increased leukocyte count in the prostate secretion must be detected to make the diagnosis.

In chronic pelvic pain syndrome, bacteria cannot be detected in the prostate secretion, but sometimes an increased number of inflammatory cells . If the number of leukocytes is increased, this is called inflammatory prostatitis. If it is not, the prostatitis is classified as non-inflammatory.

The doctor examines the patient rectally and can detect changes in the pelvis and the prostate area and, if necessary, initiate further examinations.

The diagnosis of asymptomatic prostatitis is made by detecting inflammatory cells and an increased number of leukocytes in the prostate secretion.

How I Cured My Prostatitis

If we go deeper into the definition of prostatitis, we find that inflammation is a protective response of body tissues to toxic stimuli such as pathogens, injured cells, or any other organic or non-organic irritants. Inflammation involves a variety of defense mechanisms such as the local or general rise of body temperature, immune response, and molecular mediators to localize the injured site and ultimately restore the tissue functionality.

Not surprising that our prostate contacting to the bladder and urethra carrying liquid wastes from one side and the colon carrying fecal wastes from another side, exposed to the influence of these irritants throughout the mens life. Even if we do not know the mechanism of prostatitis, we can assume the right causes of prostate inflammation leading to the symptoms mentioned earlier. In this regard, our lifestyle, what we eat, and what we drink or smoke play a primary role in the development of inflammatory processes in the prostate.

On this basis, and bearing in mind the fact that the exact mechanism of prostatitis has not yet been found, any treatment to reduce symptom hardness should be focused on total or, at least, partial removal of inflammation. I wont analyze the pros and cons of available approaches in this post, but their low or medium efficacy and a vast number of side effects make you wonder whether to apply them or not.

The recipe for inflamed prostate treatment.

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