Treatment of Non-Bacterial Chronic Prostatitis

From: www.prostatitis.org

Herbal and complementary medicine in chronic prostatitis

Daniel A. Shoskes Æ Kannan Manickam


Conclusions
Prostatitis and in particular CPPS can be frustrating for
both patient and physician. For documented bacterial
infections, antibiotics are still the therapy of choice, but
probiotics are useful in ameliorating their side effects. In
CPPS, there is credible clinical and scientific evidence
that phytotherapy with cernilton or quercetin is safe,
well tolerated and efficacious in the majority of patients.
Other agents such as saw palmetto, Pygeum, and stinging
nettle either have been shown to be ineffective in
CPPS or have not been studied in this patient population.
Physical therapies such as acupuncture are a
growing area in treatments but further standardized
data must be collected. In general, there is an emergence
of alternative therapies that are constantly forming.
Most importantly, however, in order for any allopathic
or alternative treatments to enter our therapeutic algorithms,
they require evaluation in clinical trials with
adequate controls, defined inclusion criteria and validated
clinical endpoints.
References

Phytotherapy
Common name
Mechanism
Use Effect in prostatitis

Serenoa repens Saw palmetto
?Anti-androgen BPH
Minimal

Urtica dioica Stinging nettle ?
BPH
Minimal

Pygeum africanum N/A ?
BPH
Minimal

Cernilton Bee pollen extract
Anti-inflammatory,anti-androgen
Prostatitis 42%

Quercetin Prosta-Q Anti-inflammatory,
anti-oxidant
Prostatitis 67–82%