The treatment for prostatitis depends on the type you have.
Acute Bacterial Prostatitis
For acute bacterial prostatitis, you'll need to take antibiotics for at least 14 days. Occasionally some men may be admitted to the hospital and given antibiotics through an IV (into your vein). If you have trouble urinating, your health care provider may use a tube (a catheter) to drain your bladder. Almost all infections that start quickly are cured with this treatment. Sometimes, you'll need to stay on the antibiotics for as long as four weeks. If one antibiotic doesn't work, your doctor will try others.
Chronic Bacterial Prostatitis
For chronic bacterial prostatitis, you'll need to take antibiotics longer, most often for 4 to 12 weeks. About three in four of chronic bacterial prostatitis cases clear up with this treatment. Sometimes the symptoms return and antibiotics are needed again. For cases that don't react to this treatment, long-term, low dose antibiotics are used to ease the symptoms.
Because the exact cause of CP/CPPS is not known, some doctors may give antibiotics even if your tests don't prove that bacteria are the cause. Other times anti-inflammatory or medicines which reduce painful nerves will be tried.
If an antibiotic is prescribed, it is important to take your medicine at the same time(s) each day and to take all of them, even if you start to feel better.Alpha-blockers
Some health care providers order drugs called alpha-blockers to help you feel better. These drugs help relax the muscles around the prostate and the base of the bladder.
Nonsteroidal anti-inflammatory drugs (NSAIDs) might make you more comfortable. These are pain medicines (aspirin, ibuprofen, etc.) and muscle relaxers.
Prostatic massages can help ease pressure in the prostate. It is done by draining fluid from the prostate ducts while specialized physiotherapy may relax the nearby muscles.
Biofeedback uses signals from monitors to teach you to control your body and how it reacts. This includes learning to relax certain muscles. It is done with a specialist to help you reduce tension in your pelvic floor.
Home Remedies and Other Techniques to Reduce Pain
Hot baths, hot water bottles, or heating pads may also help ease pain. If sitting is painful, a donut pillow or inflatable cushion may help.
Relaxation exercises and dietary changes may also ease some of your symptoms. Your health care provider may suggest that you stop eating and drinking some foods. These may include spicy or acidic foods, and caffeinated, fizzy or alcoholic drinks. Aim to drink more water, and eat more fresh/unprocessed foods and less sugar. Your health care provider may also suggest that you stop doing things that can make your pain worse (like bicycle riding).
There is no evidence that herbs and supplements improve prostatitis. Options which have been tried and fail to help prostatitis include rye grass (cernilton), a chemical found in green tea, onions and a saw palmetto extract. Supplements can affect other treatments, so if you want to try herbal supplements, please tell your doctor first.
Some men use acupuncture to reduce pain. Acupuncture involves inserting very thin needles through your skin at different depths and points on your body.
In rare cases, surgery on either the urethra or prostate may be needed. There must be an exact problem with the body, such as scar tissue in the urethra, for prostatitis surgery to work.