Chronic Prostatitis

Symptoms vary between individuals but commonly include:

• Pain or discomfort in the pelvic area, perineum, or lower back
• Difficulty or pain during urination
• Frequent or urgent need to urinate
• Pain during or after ejaculation
• Sexual dysfunction
• General fatigue or impact on quality of life

Diagnosis typically begins with a detailed medical history and physical examination, including a digital rectal examination. Urine tests, prostate fluid analysis, and imaging may be used to rule out infection, structural abnormalities, or other conditions. Dr Naudé takes a thorough and systematic approach to identify the contributing factors in each case.

Treatment for CP/CPPS is tailored to the individual and may involve a combination of approaches. These can include:

• Antibiotic therapy, where a bacterial component is suspected
• Alpha-blocker medication to help relax the bladder neck and prostate muscles
• Anti-inflammatory medication for pain management
• Pelvic floor physiotherapy
• Lifestyle and dietary modifications

CP/CPPS can be a long-term condition, and management often requires patience and a willingness to try different approaches. Some patients respond well to a single treatment, while others benefit from a combination strategy developed over time. Dr Naudé will work with you to find the most effective approach for your situation.