Prostatitis

Sign/Symptoms
Chills Erection Failure: Impotence Fever (Raised Body Temperature) Mind: Malaise Pain Back Pain Back Lumbar Pain During Urination (Dysuria) Pain Pelvic Urinary Frequency Increased White Blood Cells Raised

Drugs
Amoxycillin Ampicillin Ciprofloxacin Doxycycline Norfloxacin Ofloxacin Trimethoprim

Treatments
Medical Procedure Sacral Nerve Stimulation Prostatic Massage Alternative Medicine Kampo No Recommendation Very Low Evidence Myofascial Release No Recommendation Very Low Evidence Saw Palmetto Extract No Recommendation Very Low Evidence Lifestyle Changes Rest Weakly in Favour Low Evidence Regularly Sip Water Weakly in Favour Very Low Evidence Medical Therapy Prostatic Massage Weakly in Favour Low Evidence Sacral Nerve Stimulation Weakly in Favour Low Evidence

Attributes
Gender = M

Further Tests
Acid Phosphatase Concentration Acid Phosphatase (Increased) Prostate-Specific Antigen (PSA) Blood Test Prostate Specific Antigen (PSA) (Increased) Protein Electrophoresis (Blood, Serum Protein) Alpha-1-Globulin (Blood, Serum) (Increased) Alpha-2-Globulin (Blood, Serum) (Increased) Beta Globulin (Increased) Urine Crystal Concentration Triple Phosphate Crystals (Urine) (Increased) Urine Haemologlobin (Hb) Concentration Urine Haemoglobin (Hb) (Increased) Urine Red Blood Cells Concentration Urine Red Blood Cells (Increased) Urine Volume Urine (Decreased) White Blood Cell (WBC) Count White Blood Cell (WBC) (Increased)

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Saw Palmetto Extract [1, 4, 5, 6, 7, 8, 9, 10]:

Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present. Palmetto extract may cause side effects, though these are uncommon. They may include headache, vomiting, dizziness, constipation, diarrhoea, insomnia or fatigue. Long term effects have not yet been researched.

Recommendation: No recommendation (There is insufficient evidence to support claims that saw palmetto helps to treat prostatitis. More research is needed.)

Grade of Evidence: very low quality of evidence

Kampo [1, 2, 3]:

Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.

Recommendation: No recommendation (There is insufficient evidence to support claims that Kampo helps in the treatment of prostatitis)

Grade of Evidence: medium quality of evidence

Myofascial Release:

Please note, that this weakly recomended procedure is only for supportive management of pain related to prostatitis, and is in no way curative in nature.

Recommendation: no recommendation (there is insufficient evidence to show that myofascial release helps in treating prostatitis in any way)

Grade of Evidence: very low quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments:

1. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009

2. Shibata, Yoshiharu and Jean Wu. "Kampo Treatment for Climacteric Disorders: A Handbook for Practitioners." Paradigm Publications, 1997

3. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/kampo

4. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/saw-palmetto

5. http://nccam.nih.gov/health/palmetto/

6. http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-sawpalmetto.html

7. http://www.ncbi.nlm.nih.gov/pubmed/12137626

8. http://www.ncbi.nlm.nih.gov/pubmed/16467543

9. http://www.ncbi.nlm.nih.gov/pubmed/18423748

10. http://www.mayoclinic.com/health/saw-palmetto/NS_patient-sawpalmetto

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