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[70] [71] A 2019 review found that this type of therapy may reduce symptoms of CPPS without side effects, but may not improve sexual problems. [64] 5-alpha reductase inhibitors probably help to reduce prostatitis symptoms in men with CPSS and don't appear to cause more side effects than when a placebo is taken. [64]
In chronic bacterial prostatitis, there are bacteria in the prostate, but there may be no symptoms or milder symptoms than occur with acute prostatitis. [9] The prostate infection is diagnosed by culturing urine as well as prostate fluid (expressed prostatic secretions or EPS) which are obtained by the doctor performing a rectal exam and putting pressure on the prostate.
This method has been historically used as a treatment for prostatitis, as prostatic congestion has been commonly associated with prostatitis. [10] There is still limited information available on prostatic congestion treatment, however, there have been studies that combined therapies to address prostatic congestion in the presence of prostatitis.
Prostatitis is an umbrella term for a variety of medical conditions that incorporate bacterial and non-bacterial origin illnesses in the pelvic region. In contrast with the plain meaning of the word (which means "inflammation of the prostate"), the diagnosis may not always include inflammation .
Urologic chronic pelvic pain syndrome (UCPPS) is ongoing bladder pain in either sex, chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) in men and interstitial cystitis [1] [2] [3] or painful bladder syndrome (IC/PBS) in women. [4] [5] It was coined as an umbrella term for use in research into urologic pain syndromes in men and women.
A 2018 Cochrane review of studies on men over 60 with moderate to severe lower urinary tract symptoms analyzed the impacts of phosphodiesterase inhibitors (PDE) in comparison to other drugs. [90] These drugs may improve urinary symptoms slightly and reduce urinary bother but may also cause more side effects compared to placebo.