Prostatitis (cont.)
What is the treatment for prostatitis?
Acute bacterial prostatitis treatment
Treatment for acute bacterial prostatitis is a
prescription for antibiotics by mouth, usually ciprofloxacin
(Cipro) or tetracycline
(Achromycin). Home care includes drinking
plenty of fluids, medications for pain control, and rest.
If the patient is acutely ill or has a compromised
immune system (for example, is taking
chemotherapy or other immune suppression
drugs or has HIV/AIDS), hospitalization for intravenous antibiotics and care may be required.
Chronic bacterial prostatitis treatment
Chronic bacterial prostatitis treatment is with
long-term antibiotics, up to eight weeks, with ciprofloxacin (Cipro, Cipro XR),
sulfa drugs [for example, sulfamethoxazole and trimethoprim, (Bactrim)], or
erythromycin. Even with appropriate therapy, this type of prostatitis can recur.
It is uncertain as to why, but it may be due to a poorly emptying bladder. A
small amount of stagnant urine allows the potential for recurrent infection to
occur. This situation can be caused by
benign prostatic hypertrophy (BPH), bladder stones, or prostate
stones.
Chronic prostatitis without infection treatment
Chronic prostatitis without infection treatment
addresses chronic pain
control and may include physical therapy and relaxation techniques as well as
tricyclic antidepressant medications.
Other medication possibilities include alpha-adrenergic
blockers. Tamsulosin (Flomax) and terazosin (Hytrin) are drugs that block the
non-heart adrenaline receptors and are used in treating BPH and bladder outlet
obstruction. Allowing
better bladder emptying may help minimize symptoms.
Asymptomatic inflammatory prostatitis treatment
Treatment is not required for this type of prostatitis.
In patients undergoing infertility assessment, this
inflammation may be treated with a course of either a
nonsteroidal
anti-inflammatory medication (ibuprofen, Motrin, Advil) or antibiotics.
Next: What is the prognosis for prostatitis? »
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