UROLOGY CARE IN SEOUL
Prostatitis Treatment in Seoul Pelvic Pain or Urinary Discomfort That Keeps Coming Back? Prostatitis can cause pelvic or perineal pain, frequent urination, a feeling of incomplete bladder emptying, and discomfort during or after ejaculation.
If symptoms persist or return despite previous treatment, reassessing the possible cause can help determine which treatment options may be appropriate.
Consultations are available in English.
Gangnam St. Mary’s Urology Clinic · Near Nonhyeon Station, Seoul
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Do These Symptoms Sound Familiar?
Prostatitis does not feel the same for everyone. Some men mainly notice urinary changes, while others are more bothered by pelvic or perineal pain.
✓ Pelvic or Perineal Pain
Aching, pressure, or discomfort around the perineum, lower abdomen, or pelvic area.
✓ Frequent or Uncomfortable Urination
You may need to urinate more often or experience urgency or discomfort when urinating.
✓ Feeling of Incomplete Bladder Emptying
You may still feel as though you need to urinate even after emptying your bladder.
✓ Pain During or After Ejaculation
Some men experience pain or discomfort during or after ejaculation. Prostatitis is not always caused by an ongoing bacterial infection. Chronic pelvic pain and urinary symptoms can continue even when a clear bacterial infection is not identified. When symptoms keep returning, repeating the same treatment is not always the next step.
01 · UNDERSTANDING THE SYMPTOMS
What Symptoms Can Prostatitis Cause?
Symptoms can vary depending on the possible cause and how long they have been present. The type of symptom alone is not enough to determine whether an infection or another condition is responsible.
| Area | Possible Symptoms |
|---|---|
| Urination | Frequency, urgency, incomplete emptying, or discomfort when urinating |
| Pain | Pain or pressure in the perineum, lower abdomen, or pelvic area |
| Ejaculation | Pain or discomfort during or after ejaculation |
| Daily Life | Discomfort may become more noticeable after sitting for long periods |
02 · YOUR VISIT
How Is Prostatitis Evaluated?
The evaluation focuses on understanding the symptom pattern, looking for possible infection, assessing urinary function when appropriate, and considering other conditions that can cause similar symptoms.
01
Review Your Symptoms and Medical History
When did the pain begin? Where do you feel it? Does it come and go? Have you had similar symptoms before? What treatments or medications have you already tried?
02
Check for Infection and Other Possible Causes
Depending on the symptoms, urine testing or a urine culture may be considered. Urinary flow, residual urine, and prostate findings may also be assessed when appropriate.
03
Choose Treatment Based on the Findings
Treatment may differ depending on whether bacterial infection is suspected, how long the symptoms have lasted, the urinary findings, and how you responded to previous treatment.
SYMPTOMS STILL PRESENT AFTER TREATMENT?
When symptoms return, repeating the same treatment is not always the next step. Reviewing your symptoms, previous test results, and response to treatment may help determine whether a different approach should be considered.
03 · TREATMENT
What Are the Treatment Options for Prostatitis?
There is no single treatment that is appropriate for everyone with prostatitis. Treatment depends on the suspected cause, how long the symptoms have been present, and which symptoms are causing the most difficulty.
Medication
Antibiotics may be considered when bacterial infection is identified or suspected. Other medications may be considered depending on urinary symptoms, pain, and other clinical findings.
Supportive and Lifestyle Measures
Warm sitz baths, reducing prolonged sitting, and moderate physical activity may help relieve discomfort in some patients.
Additional Treatment for Persistent Symptoms
When chronic pelvic pain or urinary discomfort continues despite previous treatment, additional treatment options may be considered based on the individual findings.
04 · ESWT
When May Shockwave Therapy Be Considered?
Extracorporeal shock wave therapy (ESWT) delivers controlled shockwave energy from outside the body to the treatment area. Lower-energy extracorporeal shock wave therapy has been studied as a possible treatment option for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).
WHEN ESWT MAY BE DISCUSSED
Chronic pelvic pain that persists despite previous treatment ESWT may be considered in selected patients when pelvic pain or urinary discomfort continues or repeatedly returns. It is not necessary or appropriate for every patient with prostatitis.
Some studies have reported improvement in pain and urinary symptoms in patients with chronic prostatitis/chronic pelvic pain syndrome. However, treatment response can vary.
Whether ESWT is appropriate should be considered together with the symptoms, clinical findings, possible cause, and response to previous treatment.
Is this the same shockwave treatment used for urinary stones?
No. Although the names sound similar, ESWT for chronic pelvic pain and extracorporeal shock wave lithotripsy (ESWL) used to break urinary stones have different purposes and applications.
05 · WHEN TO GET CHECKED
When Should You See a Urologist?
An evaluation may be worth considering when symptoms persist, keep returning, or begin to interfere with everyday activities.
| What You Notice | Why Evaluation May Help |
|---|---|
| Pelvic pain keeps returning | The cause and symptom pattern may need to be reassessed |
| Urinary discomfort continues | Urinary function and other possible causes may need to be considered |
| Previous treatment did not help enough | A different treatment approach may need to be considered |
06 · FAQ
Frequently Asked Questions
Can prostatitis go away on its own?
Symptoms may improve temporarily in some cases, but not all cases of prostatitis resolve on their own. Persistent pelvic pain or urinary discomfort may need further evaluation.
Can chronic prostatitis come back?
Yes. Symptoms of chronic prostatitis can improve and later return. The pattern of recurrence and response to previous treatment can help guide further management.
Can warm sitz baths or exercise help?
Warm sitz baths and moderate physical activity may help reduce discomfort in some people. However, lifestyle measures alone may not be enough when symptoms persist or repeatedly return.
Does everyone with prostatitis need ESWT?
No. ESWT is one possible treatment option for selected patients with persistent symptoms associated with chronic prostatitis/chronic pelvic pain syndrome. It is not appropriate for everyone.
How many ESWT sessions are needed?
Research protocols have used repeated treatment sessions, but the number of sessions and treatment settings can vary. The treatment plan should be based on the individual symptoms and response.
PROSTATITIS CARE IN SEOUL
Still Dealing With Pelvic or Urinary Discomfort?
If symptoms persist or keep returning despite previous treatment, an evaluation can help identify what may be causing or contributing to the symptoms and which treatment options may be appropriate.
Gangnam St. Mary’s Urology Clinic
Consultations are available in English.
7th Floor, 559 Gangnam-daero, Seocho-gu, Seoul, South Korea
Near Nonhyeon Station
Disclaimer: This page provides general health information and does not diagnose prostatitis or determine the appropriate treatment for an individual patient. Evaluation and treatment may vary depending on symptoms, medical history, examination findings, test results, and other clinical factors.