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Prostatitis Treatment in Arlington Texas

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Prostatitis Treatment in Arlington Texas

The nagging pain in the groin

What Is Prostatitis?

Prostate inflammation, also known as prostatitis, is a common condition that can cause discomfort and affect the quality of life for many men. Although the number of patients diagnosed with prostatitis treatment options during their lifetime is varied, the Prostate Cancer Foundation estimates that half of men will develop symptoms of prostatitis during their lifetime.

Fortunately, prostatitis has different severities, from dull, aching pain in the groin to debilitating symptoms that cause urinary retention and require some men to get a catheter to drain their bladder until the symptoms subside.

Causes of Prostate Inflammation

Bacterial infections are one of the leading causes of prostate inflammation, leading to pain, burning with urination, and often slowing of the urinary stream. These infections can occur when harmful bacteria enter the prostate gland, triggering an inflammatory response.

In addition to bacterial infections, non-bacterial inflammation can also contribute to prostate inflammation. This type of inflammation may result from autoimmune disorders or irritants that stimulate the immune system’s response in the prostate gland.

Dr Bevan Thomas

1. Bacterial Infection

Common types of bacteria causing prostate inflammation include Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis. These bacteria can enter the prostate through the urinary tract through the penis and lead to infection and subsequent inflammation. Prostatitis symptoms of bacterial prostatitis may include pain in the lower abdomen or back, frequent urination, and burning with urination.

This can occasionally cause men to go into urinary retention, requiring a catheter in the bladder to relieve the pressure from the bladder and drain the urine. Prostatitis Treatment options for bacterial infections typically involve antibiotics tailored to the specific type of bacteria present.

  • Escherichia coli
  • Klebsiella pneumoniae
  • Proteus mirabilis
  • Lower abdominal or back pain
  • Frequent urination
  • Burning sensation during urination
  • Antibiotic prostatitis treatment tailored to specific bacteria
Prostatitis Treatment in Arlington Texas

2. Non-Bacterial Inflammation

Causes and risk factors for non-bacterial prostate inflammation can vary, but the most common factors include enlarged prostate irritation from pressure from sitting on hard surfaces for longer periods of time. Additionally, lifestyle factors, such as excessive alcohol consumption and a sedentary lifestyle, may increase the risk of developing non-bacterial prostatitis. Dr. Bevan-Thomas compares the prostate to a sponge. The more hydrated the patient, the more the channels in the prostate open up similar to a sponge and the less chance for inflammation. Alcohol causes dehydration: always remember to drink plenty of water to counterbalance the alcohol. Your prostate and your potential hangover will thank you the following day.

Excessive alcohol consumption, dehydration and a sedentary lifestyle can increase the risk of non-bacterial prostate inflammation.


Signs and symptoms of non-bacterial prostatitis often include persistent pelvic pain, discomfort during urination or ejaculation, and frequent urge to urinate. While these symptoms can be similar to those of a bacterial infection in the prostate gland, tests are usually negative for bacteria in cases of non-bacterial inflammation.

Management strategies for non-bacterial inflammation
This typically involve a combination of medications to relieve pain and reduce inflammation and lifestyle modifications. (See Dr. Bevan-Thomas’ prostatitis regimen below.) These may include stress management techniques like relaxation exercises or physical therapy to help alleviate muscle tension in the prostate area.

In some cases, dietary changes that eliminate potential irritants may also relieve symptoms associated with non-bacterial prostatitis.

Other Possible Causes

Autoimmune conditions have been associated with prostate inflammation, leading to pain and discomfort. These conditions occur when the body’s immune system mistakenly attacks healthy cells in the prostate, causing inflammation. Additionally, sexually transmitted infections can potentially cause prostatitis by infecting the prostate gland.
Awareness of these infections is important as they can contribute to inflammation and require appropriate prostatitis treatment. Furthermore, certain substances that are commonly used or consumed may act as ‘silent’ causes of prostate inflammation, exacerbating pre-existing conditions or initiating new ones.
Vigilance in identifying these factors is crucial for managing and preventing further complications related to prostatitis.

Difference between Normal and Prostatitis Gland
Prostatitis Treatment in Arlington Texas

Symptoms of Prostate Inflammation

1. Urinary Symptoms: Increased frequency and urgency to urinate, weak urine flow, difficulty starting or stopping urination, potentially requiring a catheter in the bladder.

2. Sexual Symptoms: Erectile dysfunction, painful ejaculation, decreased libido.

3. Other Symptoms: Pelvic pain or discomfort, lower back pain, blood in semen or urine.

NOTE: Prostatitis alone will rarely cause erectile dysfunction and a lower libido only without the other symptoms above

Urinary Symptoms

Frequent urination can be a common symptom of prostate inflammation. It may result in the need to urinate more often than usual, disrupting daily activities and causing discomfort. Difficulty starting or stopping urine flow is another urinary symptom that can occur with prostate inflammation.
This can lead to frustration and potential complications if left untreated. Additionally, a weak urine stream may accompany prostate inflammation, making it challenging to empty the bladder fully and resulting in feelings of incompleteness after urination.

Sexual Symptoms

  • Painful ejaculation may be a symptom of prostatitis. This discomfort during orgasm can result from the swelling and irritation in the prostate gland, leading to painful sensations and a decrease in ejaculation volume.
  • Prostate inflammation can also cause erectile dysfunction, making it harder for men to achieve or maintain erections. The inflammation affects the blood flow to the penis, reducing firmness and functionality during sexual activity. The nerves responsible for erections run just alongside the prostate, and if the inflammation gets severe, it may affect the ability of those nerves to conduct the impulses and produce the erection.
  • Decreased libido is another possible casualty of prostate inflammation. The prostate does not produce Testosterone or regulate it. However, painful ejaculation and discomfort may decrease the libido due to the discomfort.

Prostatitis Treatments

When diagnosing prostatitis, several methods can be employed. A comprehensive medical history and physical exam are crucial in identifying potential risk factors and symptoms associated with the condition.

Urine and blood tests are also valuable diagnostic tools for prostate inflammation. These tests can help identify any signs of infection, such as elevated white blood cell count or bacteria presence. Cultures and urinalysis are crucial to diagnosing bacterial from inflammatory prostatitis.

Prostate-Specific Antigen (PSA) Test

Purpose of a PSA test:
The PSA test is used to screen for prostate cancer NOT prostate inflammation. It measures the levels of a protein called prostate-specific antigen in the blood, providing valuable information about the health of the prostate gland. A PSA, however, can be falsely elevated during about of prostatitis treatment. Dr. Bevan-Thomas recommends delaying a PSA until the symptoms subside before obtaining a PSA test.

Interpreting PSA levels:
Elevated PSA levels may indicate various conditions, including prostate inflammation. However, it’s important to note that high PSA levels do not necessarily mean cancer is present. This test should be run when the patient is asymptomatic from the above symptoms if possible.

Urine and Blood Tests

  • A urinalysis is performed to detect any signs of infection or inflammation in the prostate. It involves analyzing a urine sample for the presence of white blood cells, red blood cells, and bacteria.
  • A complete blood count (CBC) is another important test to evaluate prostate inflammation. This test measures various blood components, such as red blood cells, white blood cells, and platelets.
  • A urine culture may be conducted to identify the specific type of bacteria causing prostate inflammation. This test allows for bacterial growth analysis in a urine sample taken from the patient.
Dr Bevan Thomas

Other Prostatitis Treatment Options for Prostate Inflammation

Antibiotics effectively treat prostate inflammation by targeting and eliminating the underlying infection IF BACTERIA IS PRESENT. On the other hand, Alpha-blockers relieve symptoms by relaxing the prostate and bladder neck muscles.

Anti-inflammatory medications can also relieve prostate inflammation, reducing pain and swelling. In addition to these options, various other treatment approaches may be recommended based on individual circumstances for managing prostate inflammation effectively.


Prostate Inflammation

1. Anti-Inflammatory Medications

Role of Anti-Inflammatory Medications in Managing Prostate Inflammation:

  • Reduce inflammation and alleviate symptoms
  • Aid in the healing process

Non-steroidal anti-inflammatory Drugs (NSAIDs) for Prostate Inflammation Relief:

  • Over-the-counter options available
  • Provide pain relief and reduce swelling

Corticosteroids: Effective Anti-Inflammatory Agents for Severe Cases:

  • Prescription required. Dr. Bevan-Thomas usually prescribes a Medrol Dosepack when indicated
  • Stronger anti-inflammatory properties than NSAIDs – Celebrex or Mobic
Prostatitis Treatment in Arlington Texas
Prostatitis Treatment in Arlington Texas

2. Antibiotics

Antibiotics are crucial in treating prostatitis if bacteria are found in the urinary tract. They help to eradicate bacterial infections that can cause this condition, providing relief and promoting healing. For antibiotics to work, however, they must penetrate the prostate and get into the ducts of the prostate to eradicate the bacteria.

Patients will routinely get better results if they are well-hydrated. Think about the sponge analogy above.

Importance of Antibiotics in Treating Prostate Inflammation:


  • Eradicate bacterial infections
  • Provide relief from symptoms
  • Promote healing

Commonly prescribed antibiotics are specifically chosen based on their effectiveness against the bacteria causing the infection. Medications such as ciprofloxacin, levofloxacin, and doxycycline are commonly used to treat prostate inflammation due to their broad-spectrum activity against various types of bacteria.

Commonly Prescribed Antibiotics for Prostate Inflammation:

  • Bactrim
  • Ceftin
  • Ciprofloxacin (black box warning)
  • Levofloxacin (black box warning)
  • Doxycycline

Although Cipro and Levaquin used to be the best antibiotics for prostatitis, this is no longer the case. The resistance pattern of the bacteria has made these drugs less effective (unless the culture shows otherwise), and they have a higher risk of causing joint and tendon issues. The black box warning informs the patients of the risk of taking this medication and other medications should be considered first before using these. 

The duration and dosage of antibiotic prostatitis treatment will depend on several factors, including the severity of infection and individual response. Typically, a course of antibiotics may last anywhere from 2 weeks to several months. It is important to follow your healthcare provider’s instructions diligently to ensure complete eradication of the infection.

Duration and Dosage of Antibiotic Prostatitis Treatment: 

  • Varies depending on the severity
  • It can range from 2 weeks to months
  • Dr. Bevan-Thomas prefers Bactrim and Ceftin over Cipro and Levaquin for most patients. 


Alpha-Blockers can effectively alleviate prostate inflammation symptoms by relaxing the prostate and bladder neck muscles, allowing for improved urine flow. Several types of alpha-blockers are used to treat prostate inflammation, including tamsulosin, doxazosin, and alfuzosin. 

These medications block certain receptors in the body to relax smooth muscles in the prostate and relieve urinary symptoms.

  • Alpha-blockers help alleviate prostate inflammation symptoms
  • by relaxing receptors in the prostate and surrounding tissues.

Types of alpha-blockers used: 

  • tamsulosin, doxazosin, alfuzosin. Dr. Bevan-Thomas will routinely use alfuzosin for men as it does not cause the ejaculation issues associated with Flomax or Tamsulosin.
Dr. Bevan-Thomas' Prostatitis Regimen

Dr. Bevan-Thomas' Prostatitis Regimen

You should drink 2-3 liters of water or flavored water daily

  • to maintain proper hydration. Make sure to choose a healthy and safe option, and stay away from sugary drinks and soda.

Cranberry extract taken twice daily

  • can inhibit bacterial growth and promote UTI healing.

Epsom salt baths

  • soaking in a hot bath with 2 cups of Epsom salt every night for 20 minutes can help relax the pelvic muscles. The magnesium and sulfate in the Epsom salts may also improve blood circulation in the surrounding area.

Lifestyle changes 

  • maintaining a healthy diet and exercise routine can help reduce the risk or manage prostate inflammation. Cardio training has been shown to improve urinary symptoms in men and likely improves blood supply to the pelvis.

Prevention of Prostate Inflammation

Maintaining good prostate health is crucial in preventing inflammation. This can be achieved through a healthy lifestyle, which includes regular exercise, a balanced diet rich in fruits and vegetables, and adequate hydration. 

It is also important to avoid smoking and excessive alcohol consumption, as these can contribute to prostate inflammation. Additionally, incorporating stress management techniques such as meditation or yoga into your routine can help reduce the risk of inflammation.

Practicing safe sex is another key aspect of preventing prostate inflammation. Engaging in protected intercourse helps minimize the risk of contracting sexually transmitted infections (STIs), which can lead to prostatitis. 

Remember that proactive measures to prevent prostate inflammation are vital in preserving your health and well-being. By practicing good habits such as maintaining a healthy lifestyle, practicing safe sex and hydration should improve your odds of maintaining a healthy prostate.


Prostatitis Treatment in Arlington Texas

Maintaining Good Prostate Health

  1. A healthy diet and lifestyle are crucial in maintaining good prostate health. Incorporating foods rich in antioxidants, such as fruits and vegetables, can help reduce inflammation of the prostate gland. Avoiding processed foods and excess sugar can increase the inflammatory process. 
  2. Stay hydrated. The most common condition Dr. Bevan-Thomas sees from his patients with prostatitis is dehydration. We live in a 5-hour energy world where it is too easy to reach for a supplement at the gas station instead of bottled water. Reduce the caffeine and energy drinks and drink water or your favorite sugar-free flavored water. 
  3. Engaging in a regular exercise routine not only improves overall well-being but also contributes to prostate health. Exercise helps regulate hormone levels and promotes blood circulation, which can minimize the risk of inflammation or other prostate-related issues.
  4. Managing stress effectively is essential for maintaining optimal prostate health. High-stress levels have been linked to increased inflammation in the body, including the prostate gland. Implementing stress management techniques like meditation or deep breathing exercises can help alleviate tension and promote a healthier state for your prostate. Dr. Bevan-Thomas recommends Headspace (a meditation app available in apple and android) for 10 minutes daily to help with everyday life’s stress. 
Maintaining Good Prostate Health

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