Treatment of bacterial prostatitis is hampered by the lack of an active antibiotic transport mechanism and the relatively poor penetration of most antibiotics into infected prostate tissue and fluids. It can be very painful and distressing, but will often get better eventually. Prostatitis is the inflammation swelling of the prostate gland. Acute prostatitis is usually treated with painkillers and a two to fourweek course of antibiotics. The prostate is a small gland found in men that lies between the penis and bladder. Takacs, md, university of iowa health care, iowa city, iowa. Treatment for chronic prostatitis chronic pelvic pain syndrome aims to decrease pain, discomfort, and inflammation. Treatment of prostatitis american family physician. Antibiotics such as trimethoprimsulfa bactrim, septra, ciprofloxacin and levofloxacin are used most often to treat chronic bacterial prostatitis. It is difficult to interpret the few controlled trials of antibiotic treatment for bacterial prostatitis because of poor case definition, low rates of followup and small numbers. Your doctor will choose your medication based on the type of bacteria that might be causing your infection.
Prostatitis, epididymitis, orchitis the definitions of bacteriuria and pyuria are listed in table 2. Guidelines on urological infections text update april 2010 m. Treatment with adrenergic antagonists should be considered in patients who present with significant voiding luts e. A wide range of symptoms exists and no single treatment works for every man. Because it is difficult for antibiotics to get into the. The prostate makes semen, the fluid that carries sperm. Hospital treatment may be necessary if you are unable to pass urine. Treatment of bacterial prostatitis clinical infectious. Taking antibiotics is the most commonly prescribed treatment for prostatitis. Offer an antibiotic see the recommendations on choice of antibiotic to people with acute prostatitis. If something causes it to become swollen, tender, or inflamed, you have whats called prostatitis. It produces fluid thats mixed with sperm to create semen.