Keep at it Harry.I have had this a long time also.

CPPS waxes and wanes....Maybe prostate removal is the answer ?
Desperate patients view this as a possible alternative..
My opinion is that removing the gland is just a horrible alternative, that entails walking around ("town")
with a catherer, not having erections in front of teasing females and a recovery period of more than 1 year.
Godness Christ.

Nope and nope in in my case.
I shall overcome that tricky condition, no matter what. I am on the right track already.
For those that still seek some treatment options:

https://www.prostatitis.com/app/default.asp

Only 125 dollars for a medicine pack that seems to be effective.
Why not give it a try... At least i shall do so

α-blockers, antibiotics and anti-inflammatories have a role in the management of chronic prostatitis/chronic pelvic pain syndrome.
Thakkinstian A, Attia J, Anothaisintawee T, Nickel JC.
Source
Section for Clinical Epidemiology and Biostatistics Department of Family Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, University of Newcastle, and Hunter Medical Research Institute, Newcastle, NSW, Australia Department of Urology, Queens University, Kingston, ON, Canada.
Abstract
Study Type - Therapy (systematic review) Level of Evidence 1a What's known on the subject? and What does the study add? Individual clinical trials evaluating antibiotics, anti-inflammatories and α-blockers for the treatment of chronic prostatitis/chronic pelvic pain syndrome have shown only modest or even no benefits for patients compared with placebo, yet we continue to use these agents in selected patients with some success in clinical practice. This network meta-analysis of current evidence from all available randomized placebo-controlled trials with similar inclusion criteria and outcome measures shows that these '3-As' of chronic prostatitis/chronic pelvic pain syndrome treatment (antibiotics, anti-inflammatories and α-blockers) do offer benefits to some patients, particularly if we use them strategically in selected individuals.
OBJECTIVES:
•  To provide an updated network meta-analysis mapping α-blockers, antibiotics and anti-inflammatories (the 3-As) in chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). •  To use the results of this meta-analysis to comment on the role of the 3-As in clinical practice.
PATIENTS AND METHODS:
•  We updated a previous review including only randomized controlled studies employing the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) as one of the outcomes to compare treatment effects in CP/CPPS patients. •  A longitudinal mixed regression model (network meta-analysis) was applied to indirectly assess multiple treatment comparisons (i.e. α-blockers, antibiotics, anti-inflammatory/immune modulation therapies, α-blockers plus antibiotics, and placebo).
RESULTS:
•  Nineteen studies (1669 subjects) were eligible for analysis. •  α-blockers, antibiotics and anti-inflammatory/immune modulation therapies were associated with significant improvement in symptoms when compared with placebo, with mean differences of total CPSI of -10.8 (95% CI -13.2 to -8.3; P < 0.001), -9.7 (95% CI -14.2 to -5.3; P < 0.001) and -1.7 (95% CI -3.2 to -0.2; P= 0.032) respectively, while α-blockers plus antibiotics resulted in the greatest CPSI difference (-13.6, 95% CI -16.7 to -10.6; P < 0.001). •  With respect to responder analysis compared with placebo, anti-inflammatories showed the greatest response rates (risk ratio 1.7, 95% CI 1.4-2.1; P < 0.001) followed by α-blockers (risk ratio 1.4, 95% CI 1.1-1.8; P= 0.013) and antibiotics (risk ratio 1.2, 95% CI 0.7-1.9; P= 0.527).
CONCLUSIONS:
•  α-blockers, antibiotics and/or anti-inflammatory/immune modulation therapy appear to be beneficial for some patients with CP/CPPS. •  The magnitude of effect and the disconnect between mean CPSI decrease and response rates compared with placebo suggest that directed multimodal therapy, rather than mono-therapy, with these agents should be considered for optimal management of CP/CPPS.

Preventive effect of ginsenoid on chronic bacterial prostatitis.
Kim SH, Ha US, Sohn DW, Lee SJ, Kim HW, Han CH, Cho YH.
Source
Department of Urology, St Mary's Hospital, The Catholic University of Korea College of Medicine, 62 Youido-dong, Youngdungpoku, Seoul, 150-713, Korea.
Abstract
Empirical antibiotic therapy is the preferred primary treatment modality for chronic bacterial prostatitis (CBP). However, this method of treatment has a low success rate and long-term therapy may result in complications and the appearance of resistant strains. Therefore a new alternative method for the prevention of CBP is necessary. There are several reports that ginsenoid has a preventive effect on urinary tract infection (UTI). To evaluate the preventive effect of ginsenoid on CBP compared to conventional antibiotics, we carried out an experiment in a rat model of the disease. Four groups of adult male Wistar rats were treated with the following medications: (1) control (no medication), (2) ciprofloxacin, (3) ginsenoid, and (4) ciprofloxacin/ginsenoid. All medications were given for 4 weeks, and then we created a CBP model in the animals by injecting an Escherichia coli Z17 (O2:K1;H(-)) suspension into the prostatic urethra. After 4 weeks, results of microbiological cultures of prostate and urine samples, as well as histological findings of the prostate in each group were analyzed. The microbiological cultures of the prostate samples demonstrated reduced bacterial growth in all experimental groups compared with the control group. Histopathological examination showed a significantly decreased rate of infiltration of inflammatory cells into prostatic tissue and decreased interstitial fibrosis in the ginsenoid group compared with the control group. Inhibition of prostate infection was greater in the group receiving both ginsenoid and antibiotic than in the single-medication groups. Although the findings of this study suggest a preventive effect of ginsenoid, preventive methods for CBP are still controversia

Why immune system modulators like beta glucan would be good.

[Effects of immunocorrective therapy on immunological indices in patients with chronic bacterial prostatitis].
[Article in Russian]
[No authors listed]
Abstract
A total of 57 patients with chronic bacterial prostatitis were divided into two groups. The control group (n = 28) received standard treatment, the study group (n = 29) received treatment including immunomodulator likopid. The tests for IgA, IgM, IgG, compliment components C3, C4, circulating immune complexes were made, immunophenotyping of peripheral blood lymphocytes was performed, chemiluminescence parameters of whole blood and plasma, content of IL-10, TNF-alpha, IL-lbeta in seminal fluid were assessed. The detected abnormalities in parameters of systemic and mucose-associated immunity give ground for inclusion of immunomodulators in combined treatment of patients with chronic bacterial prostatitis

[Correction of erectile dysfunction in patients with chronic abacterial prostatitis].
[Article in Russian]
[No authors listed]
Abstract
A total of 76 patients with chronic abacterial prostatitis (CAP) in combination with erectile dysfunction were divided into two groups. Clinical symptoms of CAP and severity of erectile dysfunction were the same in both groups. Patients of the study group (n = 36) received pathogenetic treatment (vitaprost plus physiotherapy) and impase. The control group (n = 40) received vitaprost and physiotherapy. The results of the treatment showed that impase addition to combined treatment of CAP patients with erectile dysfunction significantly improves erectile function: 80.6% patients given impase raised their score by International Index of Erectile Function Scale to normal (26 points and higher). Impase efficacy increased with prolongation of the treatment from 4 to 12 weeks

hello iwillbecured, can you please share your experience. Did you have pain and discomfort after you ended ATB therapy ??

If yes, what did you do ? Continued with exercises and supplements only ? Or you took more and more antibiotics till complete symptom remission ?

My current symptoms are some penile pain and abdominal pressure, can not get rid of it. Did you have this too ??
It is surprising that after a course of ATB, symptoms persist, making us wonder, what the hell is going on ? PLEASE SHARE...Thanks

I would definitely also give homeopathy a try (as shared in my previous link). My opinion is that Pollen Extract -Cernilton (antiinflamatory effect)
will reduce symptoms by 25 % - 50 % (as stated in Pubmed - reasearch), quercitin also, coloidal silver and my latest discovery - CURCUMIN EXTRACT- - i buy in health store as powder - very cheap! (1 tea spoon mixed in powdered warm cocoo milk).
CURCUMIN seems to be a very strong antioxidant and very helpful to boost imunite system and prostate fuctions. What do you think ?

__________________
My names not harry crumb. I just like the movie !!

1 more thing, I am now experiencing a heavy level of pelvic pain that I have never experienced before. Pelvic muscle is very sore and painful, it even almost feels swollen to me. The anal pain is bad but it almost seems like when I sit NOW the prostate is transferring the bulk of the anal pain up to the pelvic muscles if that makes any sense.

On my urologists advice I took almost 2 months of quinolones (Levo and Cipro), and saw very little, or no, improvement. I became sick of the effects of the abx, and within a fortnight of stopping them was feeling much netter. Another 2 weeks have passed and my symptoms appear to have completely resolved, no burning, no perineal pain and normal urinary frequency.

While taking the abx I became extremely constipated and had a severely bloated rectum. After introducing flaxseed oil, probiotics and magnesium to my diet my bowel movements have returned to normal and the prostatitis symptoms have disappeared completely. I realize it's still early days, and there's every chance the condition will return, but at the moment I'm feeling wonderful. So much so, that tonight I'm throwing caution to the wind and for the first time in 4-5 months, I'm going to enjoy a few beers.

Since constipation is a common side effect of broad-spectrum abx, perhaps taking a laxative supplement would be useful. While constipated I could sense the muscles in my rectum were constantly clenched and sitting, even for 15-20 mins, was extremely uncomfortable. These muscles are now completely relaxed and for the time being I feel normal. I don't know whether constipation / bowel problems cause a pinching effect on the prostate, but in my case, it certainly exacerbated things. I hope I'm over the worst of it now, but accept it could return any day. In the meantime, I'm enjoying feeling 'normal' again.

Congrats! I am very happy to hear someone is pain free!

Both Cipro and Levo at the same time?

Do you walk much Harry? If not take a stroll this evening. After the stroll....not a fast walk take some magnesium.

I have had the pelvic pain before.....it takes a couple of days, but it gets better. You have to keep your muscles loose. The pain might get worse before it gets better. Muscles.....if ya dont use them ya loose them.

No, I took two weeks of Cipro, followed by 6 weeks of Levo. These were prescribed based on my symptoms. I saw absolutely no improvement while taking them, if anything I became worse.

I was very skeptical about the muscular nature of this disease, and the stretches in the 'Pain in the Pelvis' book actually irritated my prostate. However, I'm convinced the muscular discomfort I felt while I was constipated was the main trigger for my symptoms.

Thanks for the congratulations, Tex. I'm onto my 6th large beer now and still feeling good. Hopefully, this is the end of my nightmare., and I hope other members are also pain free soon.

On this note, I should add that my improvement, also coincided with exercising for 20 minutes a day on a 'step machine'. Nothing too intense, just enough to get the heart pumping and the blood circulating.

CURCUMA POWDER is the solution - one teaspoon per day.
I am feeling 95 % symptom free... since I started this.
If things continue to be 95 % pain free, I will announce my victory over this painful condition.

CURCUMA powder - a strong antinflamatory and antioxidant may be the solution
at least for me...(no levos, or cipros - yes to trimethoprims, but after that, lets go natural if we can...).
It is worth a try.

tumeric....curcuma has been used successively for mrsa infections. Bactrim.... Trimethoprim is the choice for mrsa as well.

Kinda makes you think about what type of prostate infection you have.

Just a thought.