Massage Therapy
Contents of this Page
- Introduction
- Pelvic Floor Massage
- Minimally Invasive Procedures
Introduction
We see a number of patients who have undergone a series of prostatic massages and realized at least temporary benefit from the procedure. A simple explanation is the fact that massage therapy will empty the congested prostatic glands that in turn created stretching inside the damaged prostate. Unfortunately, within two or three days of the massage when the prostatic secretion fills the glands, the discomfort will return. Prostatic massage, when combined with antibiotic therapy will improve the local circulation allowing better antibiotic penetration to the affected areas. I abandoned routine prostate massages as mainline therapy. The injection approach delivers concentrations of antibiotics over 1,000 fold higher than that achieved through oral therapy even when massages were added to the treatment. As an option, complying with the request of the patient, I perform prostate massages before antibiotic injections.
Pelvic Floor Massage
I have limited experience with the procedures referred to as pelvic floor massage/ myofascial trigger point release, heat/physiotherapy, stretching, electro-neural modulation, mind-body relaxation exercises, yoga, hypnosis, or other related approaches. I subscribe to the procedures if and when extensive pelvic adhesions are documented. I have witnessed one of these cases in a patient with chronic seminal vesiculitis.
Surgical Approaches to Treat Chronic Prostatitis
Balloon dilatation can be used if and when previous infection has created a stricture anywhere in the urethra. Minimally invasive surgery: Transurethral resection of prostatic lobe protruding into the urethra.
Partial or complete Prostatectomy
Since I have no patients who underwent either the Balloon dilatation technique or the Minimally invasive surgery, I cannot comment on these approaches. So far I have had only one patient that recently elected to undergo partial prostatectomy. The follow up is not long enough to draw any conclusion. Therefore I maintain to my opinion that surgical approaches are not justified in the treatment of chronic prostatitis. Instead, our approach centers on
intra-prostatic injection of antibiotics.
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