men s health issues
Prostatitis
Treatment of Prostatitis
With bacterial infection, antibiotics Without infection, treatments to relieve symptoms, such as prostate massage, sitz baths, biofeedback, and drugs, and procedures When cultures reveal no bacterial infection, prostatitis is usually difficult to cure. Most treatments for this kind of prostatitis relieve symptoms but may not cure the prostatitis. These treatments for symptoms can also be tried in chronic bacterial prostatitis. However, it is not clear how effective these treatments are. Nondrug treatments may include periodic prostate massage (done by a doctor by placing a finger in the rectum) and sitting in a warm sitz bath. Relaxation techniques ( Biofeedback ) to relieve spasm and pain of the pelvic muscles have also been used. Among drug therapies, stool softeners can relieve painful defecation resulting from constipation. Analgesics and anti-inflammatory drugs may relieve pain and swelling regardless of its source. Alpha-adrenergic blockers (such asdoxazosin,terazosin,tamsulosin,alfuzosin, andsilodosin) may help relieve symptoms by relaxing the muscles within the prostate. For reasons that are not understood, antibiotics sometimes relieve symptoms in nonbacterial prostatitis. If symptoms are severe despite other treatments, surgery, such as partial removal of the prostate, may be considered as a last resort. Destruction of the prostate by microwave or laser treatments is an alternative. To treat acute bacterial prostatitis, an antibiotic that can penetrate prostate tissue (such asciprofloxacinortrimethoprim/sulfamethoxazole) is taken for at least 30 days. Taking antibiotics for less time may lead to a chronic infection. Most men can be treated at home and take an antibiotic by mouth, but occasionally men need to be hospitalized and given an antibiotic through a vein. Chronic bacterial prostatitis can be difficult to cure. It is treated for at least 6 weeks with an antibiotic that can penetrate prostate tissue. If a prostate abscess occurs, surgical drainage is usually necessary. 