Acute and chronic prostatitis discussion. Arnon Krongrad, MD, moderator.
Can prostate removal for prostatitis really offer a cure for suffering men?
I have done 5 radical prostatectomies for 'chronic prostatitis' to date, all of which have cured their patients of intractable perineal pain. Four patients had immediate relief and one patient waited 6 months before his symptoms disappeared. Interestingly, four out of the five men had prostate cancer present on their final histology, which was undiagnosed prior to surgery and all currently have unrecordable PSA levels.
Although it is anecdotal evidence, I think that what has been written in this discussion is important as the overwhelming majority of men with chronic pain are unaware of surgery as an option and would welcome the opportunity to at least discuss it. But caveat emptor - for it to be reasonable to treat a benign condition by radical prostatectomy patient morbidity (complications) would have to be minimal so the surgery should only be done by experienced surgeons. I would be delighted to collaborate in a study to look at the efficacy of radical prostatectomy in treating chronic prostatitis.