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Dear sir i had been diagnosed with painful urination,pain around anal hole, difficulty to start urine and dribbling urine doctor diagnosed it as prostatitis and i had undergone prostatic massage and took silofast d 4 mg  alpha blocker tabs for nearly 8 months in a tapering way and i had left d tabs still those symptoms are persisting then and there..does stress will induce prostatitis?? Please advice me sir


Prostatitis is not caused by stress or everyone would have it!  However, stress makes any chronic condition seem worse.

Prostatis massage is a controversial treatment.  Proponents suggest that it helps empty the clogged prostatic ducts and reduces inflammation.  Opponents contend that no other organ is helped by massage when it's inflammed and it only increases the trauma to the organ.

Typical treatments for prostatitis follow:

Typical Treatments for Prostatitis Include:
Avoid caffeine which irritates the prostate and bladder.
Hot sitz baths.  Sitting in a very hot tub for 10 minutes really seems to reduce pelvic pain, inflammation and discomfort.  We recommend twice or even three times a day for severe cases or flare-ups, but at least once a day for most prostatitis patients.
Avoid hot spices which tend to irritate the prostate.
Avoid sitting on hard surface; use an inflatable donut to spread the pressure away from the prostate.
Use NSAIDs like ibuprofen (Motrin, Advil) or naprosyn (Aleve) to help reduce discomfort and inflammation.
Antibiotics as prescribed by your physician.  Typically, at least 4-6 weeks minimum is required.
Alpha blocker medications such as tamsulosin and alfuzosin will help relax muscle tension in the prostate and improve urinary flow.
Avoid high potassium foods that some people are sensitive to and which can be irritating.
Less alcohol and smoking.
Use quercetin which is a natural anti-inflammatory herbal supplement that has been shown to help reduce inflammation in the prostate.


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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