Acute Bacterial Prostatitis: A man with acute bacterial prostatitis should take antibiotics for 4-6 weeks even if his symptoms are improving immediately because eradicating acute bacterial prostatitis the first time by relentless treatment with antibiotics is the best way to avoid the development of chronic bacterial prostatitis. Drinking plenty of fluids, analgesic drugs, temporary abstination from sex, and stool softeners are also helpful. Chronic Bacterial Prostatitis: The same general principle is true for patients with chronic bacterial prostatitis because it can be much more difficult to cure. Recurrent therapy with antibiotics, prostatic and/or seminal vesicle massage are also necessary. Antibiotics: Broad spectrum antibiotics are used to treat prostatitis and are prescribed based on antimicrobial susceptibilty patterns of the microorganisms. Non-Bacterial Prostatitis: Since the etiology is unclear, it is difficult to recommend definite curative therapy for non-bacterial prostatitis. Further therapy can be considered based on the results of empiric antibiotic treatment. Muscle relaxants and other drugs have been helpful in easing the muscle tension in the prostate and making urination easier. The right daily dosage of muscle relaxant should be found. Even if prostatitis is not always curable, it is treatable. Most patients can get medical relief from the symptoms. The main problem in the treatment of chronic prostatitis is the restitution of free drainage by massage of the prostate gland, since retention favors infection. The most effective method of restoring the patency of occluded or obstructed prostate and ejaculatory ducts is by gradual, gentle dilatation of posterior urethra. Research continues into prostatitis syndromes and, hopefully, this will lead to more accurate diagnosis and improved therapeutic interventions to prevent reoccurrence. [Home] [Center] [Prostatitis] [Korik] [Links] [Contact us] The Prostatic Center © 1998 Last Updated September 5, 1998 |