Understanding Your Treatment: the patient handout
Patient information · chronic prostatitis
Understanding Your Treatment: the handout every new patient receives
Four pages that explain why chronic prostatitis can take time to treat, what we do differently at Georgiadis Urology, what you may be told elsewhere, and how we decide that treatment is complete. We hand it to every patient at the first visit. If you are considering coming to Athens, read it first; every question it raises is one we are glad to discuss.
What is inside
Four pages, four questions every new patient has.
Why chronic prostatitis can take time, and what we are trying to achieve
Our clinical position stated plainly, the road most of our patients have already travelled (short antibiotic courses, “CP/CPPS”, physiotherapy, phages), and why earlier treatment can make the work harder: a chronically inflamed prostate is scarred, its ducts are blocked and its blood flow is distorted, so drugs never reached the diseased areas at full strength.
What we do differently
Why “sensitive” in the laboratory does not mean easy to kill inside a diseased gland; the microbes we find most often and how they survive; our diagnostic protocol (history, prostatic fluid, prolonged cultures and PCR, transrectal ultrasound with Doppler, uroflowmetry, leukocytes); and the four pillars of the Georgiadis Protocol: prostate pressure therapy, culture-directed oral antibiotics, intravenous antibiotics and intraprostatic injection when indicated.
What you may be told elsewhere
Our answer to the sentences patients hear most: “everyone has microbes”, “your cultures are negative”, “it is non-bacterial CP/CPPS”, “just take another course”, “have you tried phages”, “it is a hypertonic pelvic floor”, “you feel better, so stop”, “the staphylococcus is contamination”, “after ten years it is too late”.
Why waiting is not the safe option, and when we are finished
How the disease progresses from early to advanced, what we ask of you (consistency between treatment blocks, lifestyle, a full history), the stages of treatment, the checklist we use to declare a treatment complete, and what we can and cannot promise.
From our own records, 2014–2026
The numbers the handout is built on.
Georgiadis Urology clinical archive: our own records, not a clinical trial. Our clinical position is a minority view, not settled scientific consensus; the handout says so on every page where it matters.
When are we finished?
Treatment ends when the whole picture is right, not when the symptoms ease.
- Microbiology: cultures negative, and staying negative on repeat testing
- Inflammation: low inflammatory-cell counts (10 or fewer per field)
- Prostate structure: soft and painless on examination; clean and smaller on ultrasound
- Blood flow (Doppler): no excess signal at the sites of the former inflammatory foci
- Urinary function: clearly improved from where you started
- Symptoms: the previous symptoms gone
Before your first visit
What we ask of you.
Send us your history before you travel: earlier cultures, imaging and treatments, and every symptom, including the ones you think are unrelated. We tell you frankly whether we can help. During treatment, keep treatment blocks no more than one to two months apart, and keep to the lifestyle rules in the handout until we tell you the treatment is complete. In our records, consistency between blocks made the difference between men who lost a quarter of their prostate volume and men who lost part of the result they had already achieved.
Download the handout (PDF)Book a consultation
Read next: the Georgiadis Protocol (GCPP) · how the protocol works · pelvic floor physiotherapy for prostatitis
This page and the handout describe the clinical approach of Georgiadis Urology and are provided for information; they are not a substitute for individual medical advice. Individual results vary and no outcome can be guaranteed. Reviewed by Dr Pavlos Georgiadis, Urologist · September 2026.
