Treating chronic prostatitis with chronic pelvic pain presents a challenge for urologists, pelvic floor physiotherapists, and pain management specialists. Its cause is multifactorial, and despite advances in this field, successful treatment can sometimes be difficult even with a multidisciplinary approach.
In a case of chronic prostatitis, there may be an inflammatory condition in the prostate caused and maintained by the persistence of bacteria in the prostate, where antibiotics have difficulty reaching and exerting their effect.
Injecting antibiotics directly into the prostate through the perineum, guided by ultrasound, under sedation or short-term spinal anesthesia, allows the administration of high doses of antibiotics that can eradicate these bacteria, improving the inflammatory condition and pain.
Studies have shown an improvement in symptom scores in patients undergoing this treatment, although it is not a treatment recommended by European urology guidelines, because the scientific evidence is considered insufficient to establish a recommendation.
Therefore, at ICUA, we perform this technique when other management options have failed and under the recommendation of experts in the management of chronic pelvic pain syndrome – chronic prostatitis
