Prostate Infections (cont.)
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Prostate Infections Treatment
Treatment is based on the type of infection and the susceptibility of the infecting organism to antimicrobial therapy as follows:
Acute bacterial prostatitis medical treatment
Antibiotics: Patients likely will be given trimethoprim-sulfamethoxazole (Bactrim, Septra) or fluoroquinolones (ciprofloxacin [Cipro, Cipro XR, Proquin XR], norfloxacin [Noroxin]) for at least a week, and frequently longer time periods for the common infectious agents (Gram-negative bacteria). Infrequent infectious agents (listed above) may require other antimicrobials; the best treatment is to determine the antimicrobial susceptibility of the infecting agent and use the most effective antimicrobial. This information may be supplied to the treating doctor by the laboratory personnel.
Chronic bacterial prostatitis medical treatment
The effectiveness of antibiotics is limited because most antibiotics cannot penetrate the prostate tissue when it is not inflamed.
If a patient has a relapse or prostatic disease resistant to therapy, the doctor may continue antibiotics with prostatic massage or drainage (2 or 3 times per week). Although many clinicians may not take this approach, those that do suggest the following:
Patients rarely need surgery, which may be considered if medication has been effective.
Medically Reviewed by a Doctor on 11/5/2014
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