The symptoms of prostatitis—pain during urination, residual urine sensation, and pelvic discomfort—are far from simple. Because these symptoms often overlap with other urological conditions, many patients are prescribed antibiotics blindly without a differential diagnosis. This practice can lead to missing the optimal therapeutic window and may push the condition into a chronic stage.
Appropriate treatment must be determined by objective diagnostic data. According to clinical guidelines, only a small fraction of prostatitis cases are truly bacterial. For the majority of patients, the issue lies in neuromuscular tension or immune system abnormalities, where antibiotics are ineffective. Chronic non-bacterial prostatitis demands a multimodal approach involving physical therapy, pain modulation, and specialized localized injections.
Dr. Lee Min-jong emphasized, "Prostatitis requires a clinic with the diagnostic expertise to know when to initiate and when to stop specific pharmaceutical regimens. Recurrence can only be prevented when a variety of treatment systems—including medicine, physical therapy, and injection therapy—are tailored to the patient's unique clinical presentation."