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Prostatitis · Specialist Urologist · Whitechapel, London

Prostatitis Treatment London

Specialist assessment of prostatitis, with focal shockwave therapy available for chronic non-bacterial prostatitis where it forms part of an appropriate treatment plan.

Delivered byDr Kishore Bahl, Specialist Urologist
ConsultationAssessment before any treatment
Session timeTypically 15–30 min
DowntimeNone
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Educational information — not a substitute for clinical assessment

This page describes shockwave therapy for prostatitis in general terms to help you decide whether an assessment may be useful. It is not a diagnosis and does not promise a particular result. Suitability, the number of sessions and whether treatment is appropriate at all are decided at consultation. Outcomes vary between individuals and treatment is not suitable for everyone.

Why people come to us about this.

Prostatitis is one of the most frustrating conditions in urology — for patients and clinicians alike. Many men have been through several courses of antibiotics without improvement, because not all prostatitis is bacterial.

What this condition actually is.

Prostatitis describes inflammation of the prostate, but it covers several distinct conditions with different causes and treatments.

Acute bacterial prostatitis is an infection requiring prompt antibiotic treatment. Chronic bacterial prostatitis is a recurrent infection. Chronic non-bacterial prostatitis, also called chronic pelvic pain syndrome, is by far the commonest and involves no demonstrable infection.

Establishing which you have is the single most important step, because treating the wrong one gets nowhere. Focal shockwave is relevant to the non-bacterial form.

What you might be noticing.

  • Pain in the perineum, lower abdomen, groin, testicles or lower back
  • Pain or burning on passing urine
  • Urinary frequency, urgency or difficulty starting
  • Pain during or after ejaculation
  • Erectile difficulty
  • In acute infection: fever, chills and feeling systemically unwell — this needs urgent assessment

What tends to cause it.

  • Bacterial infection, in acute and chronic bacterial prostatitis
  • Pelvic floor muscle dysfunction and tension
  • Neuropathic pain and central sensitisation in longstanding cases
  • Inflammation without demonstrable infection
  • Previous urinary tract infection or instrumentation
  • Stress, which does not cause the condition but reliably worsens it

How treatment helps.

Focal shockwave has been studied in chronic non-bacterial prostatitis and chronic pelvic pain syndrome.

The intention is to reduce pain and improve local tissue conditions in the pelvic floor and perineum.

It does not treat bacterial infection. If infection is present, that is treated first.

It is used as part of a broader plan, which commonly includes pelvic floor physiotherapy.

Why we use focal shockwave.

We use focal shockwave because it delivers energy to a defined depth — up to approximately 12 cm — allowing accurate treatment of deeper structures. Radial devices spread energy outwards from the applicator and lose intensity quickly, which limits them to more superficial targets.

Why focal reaches what radial cannot.

Pulses travel from the probe and converge on a target at depth. The dashed line marks where radial devices stop.

036912 cm Radial device range ► stops here Focal probe Target SkinFat layerMuscleDeepmuscle
Focal shockwave · depth of penetration

What treatment can offer.

Accurate categorisation of which prostatitis y

Accurate categorisation of which prostatitis you have — the step most often skipped

Non-invasive, drug-free treatment option for t

Non-invasive, drug-free treatment option for the non-bacterial form

Avoids repeated antibiotic courses where no in

Avoids repeated antibiotic courses where no infection is present

Can be combined with pelvic floor physiotherap

Can be combined with pelvic floor physiotherapy and other measures

No downtime

No downtime

What to expect during treatment.

  1. Step 1

    A detailed consultation covering the pattern, site and triggers of your pain and urinary symptoms.

  2. Step 2

    Examination, and investigations including urine tests to establish whether infection is present.

  3. Step 3

    A clear statement of which type of prostatitis you have, as far as it can be determined.

  4. Step 4

    A treatment plan matched to that diagnosis, which may include antibiotics, physiotherapy, shockwave or a combination.

  5. Step 5

    Review, because chronic prostatitis usually needs adjustment over time.

Questions people usually ask.

Why haven't antibiotics worked?

Because most chronic prostatitis is not bacterial. Antibiotics do not help non-bacterial prostatitis, and repeated courses carry their own risks.

Is prostatitis an STI?

Usually not, though infection is checked for. Sexual health screening may be offered where relevant.

Does it lead to prostate cancer?

There is no established causal link. Prostatitis can raise PSA, which is why results need interpreting in context.

How long does it take to improve?

Chronic prostatitis typically improves gradually over months rather than quickly, and often needs more than one approach.

Will I need a prostate examination?

Usually yes, as it provides important information. A chaperone is always available.

Is pelvic floor physiotherapy useful?

Frequently, yes — pelvic floor dysfunction is a major contributor in many men.

Related treatments.

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Before you book.

Referral

No GP referral needed. You can book directly.

First appointment

An assessment with Dr Kishore Bahl, Specialist Urologist. Treatment follows only if the assessment supports it.

Where

Whitechapel, East London. Whitechapel station is on the Elizabeth line, District, Hammersmith & City and Overground.

Fees

Published in full on our price list.

Privacy

Consultations are private and confidential. You are entitled to a chaperone at any appointment, at no cost.

Speak to a specialist.

Speak to Dr Kishore Bahl, Specialist Urologist, about whether this treatment is appropriate for you.

Book a consultation Call 020 7916 0029 See full pricing on our price list
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