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>>bondar+(OP)
I read this with great interest, because about a decade ago, I was convinced I had prostatitis (but NHS screwed the diagnostic process up - the GP didn't do a digital rectal exam because the ultrasound would be more diagnostic anyway, and the ultrasound scan was cancelled because the GP didn't do a digital rectal exam which was part of the criteria for going through with the scan ¯\_(ツ)_/¯ ), and ended up reading quite a bit about it, and how I might try to make things better for myself in the absence of antibiotics.

I ended up on this page which I no longer remember (something something prostatitis foundation maybe?), from which I remember two things.

The first was this turkish doctor, who against all advice was suggesting a "Brocolli juice therapy" as a prostatitis cure. Fast forward to 2025 and there's lots of studies supporting this. Anecdotally I tried this back then and it really helped the prostate pain I had at the time for months go away within a week.

The second, which is more relevant here, was this guy who had a very interesting hypothesis, that a lot of the prostate troubles are actually "musculoskeletal" in origin, and muscle imbalance / weakness of the iliopsoas muscles in particular. And that this imbalance affects venous return which "somehow" causes the condition. But he was just a lay person, and the "somehow" was unclear. So this completes that image perfectly. It's interesting that this article mentions the venous insufficiency link, and that veins rely on valves to direct flow, but doesn't mention the muscular link at all.

In any case, this person was saying that in his case, doing lots of iliopsoas stretching and exercises effectively 'fixed' his chronic prostatitis problems. So I've timidly started including a couple of iliopsoas stretching exercises before any workout I do. Anecdotally, I think it helps, but I can't know for sure. But thought I'd mention here in case someone shows interest or can make that link more solid.

PS. found the turkish doctor page (or at least a mirror of it): https://www.oocities.org/iastr/ebroc.htm

I wish I could find that comment about the iliopsoas ... but alas I think it's probably lost in the sands of time now.

UPDATE: Well what do you know. Found it: https://web.archive.org/web/20230203201759/https://prostatit...

(and https://web.archive.org/web/20230127101206/https://prostatit... more generally)

>>tpoach+7Y
It also seems to me that a lot of “prostatis” cases have nothing one to do with bacterial infection but rather pelvic floor issues or is referred pain from spinal issues.

Men’s medicine is in the dark ages.