Chronic Prostatitis

Harley Street, London

Chronic prostatitis, a condition characterised by persistent inflammation of the prostate gland, presents a multifaceted challenge for both patients and healthcare providers. Its hallmark symptoms encompass a broad spectrum, ranging from pelvic pain and discomfort to lower urinary tract symptoms, sexual dysfunction, and a notable decline in overall quality of life.

Diagnosing chronic prostatitis demands a meticulous approach, beginning with a comprehensive evaluation that includes a detailed medical history, thorough physical examination, and targeted tests such as urine cultures and specific questionnaires. These assessments aid in identifying the specific subtype of chronic prostatitis and informing subsequent treatment decisions.

Histopathologically, chronic prostatitis manifests as inflammatory changes within the prostate tissue, characterised by the infiltration of immune cells such as leukocytes. These inflammatory processes not only contribute to the development of symptoms but also impair the normal function of the prostate gland, further exacerbating the patient’s condition.

The National Institutes of Health (NIH) classification system categorises chronic prostatitis into several subtypes, including acute and chronic bacterial prostatitis, chronic non-bacterial prostatitis (which can be further divided into inflammatory and non-inflammatory subtypes), and asymptomatic inflammatory prostatitis. Distinguishing between these subtypes is crucial for tailoring treatment approaches to address the underlying causes of inflammation.

With regards to treatment, the focus is on providing effective treatment options for chronic prostatitis to enhance our patients’ quality of life. Mr Raison’s approach involves a variety of strategies tailored to each individual patient’s needs:

Antibiotics: For chronic bacterial prostatitis, Mr Raison may prescribe targeted antibiotics, often utilising fluoroquinolones known for their effectiveness in penetrating prostate tissue.
Alpha-blockers: These medications help alleviate urinary symptoms by relaxing muscles in the prostate and bladder neck, reducing frequency, urgency, and hesitancy.
Anti-inflammatory drugs: where appropriate Mr Raison utilises nonsteroidal anti-inflammatory drugs (NSAIDs) and other medications to reduce inflammation and relieve associated pain.
Physical therapy: Pelvic floor techniques, including biofeedback and relaxation exercises, are employed to alleviate pelvic pain and enhance muscle function. Mr Raison works closely with pelvic floor physiotherapists to provide holistic care for his patient.
Lifestyle modifications: A major focus of treatment under Mr Raison are lifestyle interventions including exercise, stress management, and dietary adjustments to promote symptom relief and overall well-being.
Psychological support: Counselling and cognitive-behavioural therapy can aid in managing the emotional impact of chronic prostatitis and improving coping strategies.
Advanced phenotyping: Tailoring treatment based on individual characteristics optimises outcomes, ensuring the most effective therapy for each patient.

Mr Raison’s comprehensive and individualised approach addresses the root causes, symptoms, and impact on quality of life.

Mr Raison is available for private urology consultations, treatments, and surgical procedures at The London Clinic, Harley Street.