How is prostatitis treated

The treatment of bacterial prostatitis is with antibiotics. Patients with acute bacterial prostatitis may require a short stay in the hospital for intravenous antibiotics and then continue on antibiotics for 2 to 4 weeks. Men with chronic bacterial prostatitis may require a longer course of antibiotics. In those men with recurrent chronic bacterial prostatitis, the doctor may prescribe a low dose of antibioctics for 6 months to prevent recurrent infections. Often bacterial prostatitis is treated with a class of antibiotics called quinolones (for example, ciprofloxacin, norfloxacin, ofloxacin). For men who are allergic to quinolones alternative antibiotics may be used, depending on the sensitivity results of the urine culture. Such alternative antibiotics include doxycycline, minocycline, trimethoprim-sulfamethoxazole, and trimethoprim.

If there is an increase in the number of bacterial colonies seen in either EPS or VB3, a diagnosis ofbacterial prostatitis is made, and treatment is based on the antibiotic sensitivities of the organisms that were isolated.

Because nonbacterial prostatitis is also recognized and is often thought to be caused by Chlamydia trachomatis, some urologists will give the patient a course of doxy-cycline, an antibiotic that covers Chlamydia particularly well.

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