Phytotherapy and physical therapy in the management of chronic prostatitis-chronic pelvic pain syndrome

Int Urol Nephrol. 2019 Jul;51(7):1081-1088. doi: 10.1007/s11255-019-02161-x. Epub 2019 May 3.


Chronic prostatitis (CP)/chronic pelvic pain syndrome (CPPS) is one of the four category prostatitis, and the prevalence is over 90-95% in prostatitis. Because of its pain and obstructive voiding difficulties, it severely affects the quality of life of the patient. However, the standard treatment is still unclear. Given the lack of proven efficacy of conventional therapies (such as antibiotics, anti-inflammatory medications, and alpha-blockers), many patients have turned to phytotherapy and other alternative treatments. In recent years, phytotherapy and physical therapy have advanced a lot because of the safety, efficacy and high compliance. This review covers phytotherapy (quercetin, bee pollen, pumpkin seed oil, eviprostat, terpene mixture) and physical therapy (acupuncture, shock wave, thermobalancing, transurethral needle ablation, transcutaneous electrical nerve stimulation sono-electro-magnetic therapy) commonly used in chronic prostatitis to help the clinician and researchers.

Keywords: Alternative therapies; Chronic prostatitis; Physical therapy; Phytotherapy; Quality of life.

Publication types

  • Review

MeSH terms

  • Humans
  • Male
  • Physical Therapy Modalities*
  • Phytotherapy / methods*
  • Prostatitis / physiopathology
  • Prostatitis / psychology
  • Prostatitis / therapy*
  • Quality of Life*
  • Treatment Outcome