United Knowledge, Expert Care

Prostatitis Treatment

Acute bacterial prostatitis is treated with antibiotics, usually for 4 – 6 weeks. The antibiotics may be adjusted when the urine test results are available. It is important to complete the full course of antibiotics even when symptoms disappear to prevent the development of antibiotic-resistant bacteria and may reduce the risk of progressing to chronic bacterial prostatitis. A simple painkiller such as paracetamol can be used for pain relief. Rest and fluids are advisable and if passing stools causes discomfort a stool softener can be used.

It may be necessary to have treatment in hospital if the symptoms are severe or there is an inability to pass urine.

Chronic bacterial prostatitis is treated with a 6 – 8 week course of antibiotics as the infection may lie deep within the prostate and the tissue of the prostate is difficult for antibiotics to penetrate. This means that sometimes an infection can persist or recur. An anti-inflammatory drug such as Voltarol (diclofenac) is used to reduce the inflammation in the prostate. Again a stool softener will help with discomfort is caused when passing stools.

Occasionally an abscess can form in the prostate. This may need to be drained which is usually done under anaesthetic. A catheter may be needed to drain urine if passing urine is difficult or impossible and antibiotics are used to clear the infection.

Chronic non-bacterial prostatitis is more difficult to treat and the aim is to treat the symptoms. Sometimes a course of antibiotics may help, despite there being no evidence of infection. This is usually taken over 6 weeks. Anti-inflammatory drugs such as iboprufen, neurofen or voltarol can be used to help control pain caused by inflammation. It is usually more effective to use painkillers or anti-inflammatories on a regular basis, especially initially. Alpha-blockers or muscle relaxants can be used and have been found sometimes to alleviate symptoms.

A schedule of prostatic massage has been shown to be beneficial to some men.

It is usually a matter of trying various forms and combinations of treatment to find the one that works best.

Asymptomatic inflammatory prostatitis is usually not treated.

If you're experiencing symptoms of Prostatitis, please call 020 7224 5089 or use the appointment form to book a consultation.

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