Italian urologists treat prostatitis based on the four National Institutes of Health (NIH) categories. Therapy protocols prioritize targeted antibiotic switch-overs, alpha-blockers, and advanced phytotherapy. Specialized Milanese and Roman clinics also offer robotic surgery and interventional radiology for chronic cases with structural complications or enlargement.
- Type I (Acute): High-dose fluoroquinolones like ciprofloxacin effectively penetrate prostate tissue.
- Type II (Chronic): Prolonged antibiotic courses lasting 2 to 4 weeks achieve 70% cure rates.
- Type III (CPPS): Combination therapy includes tamsulosin, NSAIDs, and herbal supplements like quercetin.
- Advanced procedures: Robotic da Vinci prostatectomy is available for complex cases at San Raffaele.
Bookimed Expert Insight: Italian urology centers like San Raffaele and Ospedale San Carlo di Nancy lead in volume. Prof. Dr. Francesco Montorsi has performed over 8,000 procedures. This high volume allows surgeons to identify cases where prostatitis symptoms actually stem from structural issues. These patients benefit from robotic interventions or state-of-the-art embolization techniques developed by Italian specialists like Dr. Tommaso Lupattelli.
Patient Consensus: Patients note that Italian protocols often include natural extracts like pollen or saw palmetto alongside traditional drugs. Many emphasize that combining medication with early pelvic physical therapy is necessary for significant relief.
