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Chronic Prostatitis

Urology
AkhilGender: MaleAge: 39 years (Adult) Chronicity: 18 months

Presenting Complaints & History

  • Dull ache in the perineum and pelvic region, worse when sitting
  • Pain and burning during or after ejaculation
  • Weak urinary stream and post-void dribbling
  • Anxiety and reduced libido

Clinical Assessment

Diagnosed with Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CPPS) after several rounds of antibiotics failed to resolve the symptoms.

Diagnostic Investigations: Prostatic fluid culture showing no bacterial growth; digital rectal exam (DRE) showing a tender, congested prostate.

Homeopathic Therapeutics & Management

Constitutional treatment to reduce pelvic congestion, relieve muscle spasms, and soothe prostatic tissue.

Selected Constitutional Remedies: Sabal Serrulata and Chimaphila Umbellata

Lifestyle & Nutritional Support

Avoidance of prolonged sitting, use of a donut cushion, warm sitz baths, and eliminating spicy food and alcohol.

Clinical Outcome

Follow-up Period: 7 months
  • Significant improvement with reduction in perineal and pelvic pain
  • Normal ejaculation without discomfort or burning
  • Urinary stream improved with reduced post-void dribbling
  • Sustained improvement during follow-up with resolved anxiety
Medically reviewed by Dr. Navaneeth K. Unni
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#Prostatitis#CPPS#PelvicPain#SabalSerrulata#Congestion
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