Prostatitis - Treatment Overview
prostatitis usually begins with taking an antibiotic
for several weeks. If you begin to feel better, you may have to take the
medicine for 2 to 3 months. If you do not get better while taking
antibiotics, more tests may be done.
acute prostatitis is aimed at curing the infection and
preventing complications. Acute bacterial prostatitis is treated with
antibiotics, pain and fever medicine, stool softeners, fluids, and
- If you are unable to urinate or need
intravenous antibiotics, you may be admitted to a
hospital for a short time for treatment.
- Most men get better quickly. Treatment (usually at home) lasts for 4 to 6 weeks.
Chronic bacterial prostatitis
chronic bacterial prostatitis is aimed at curing the
infection and preventing complications. Antibiotics are given for 6 to 12
weeks. Long-term antibiotic treatment may be needed if the infection
- Infected prostate stones (prostatic calculi) can make the infection more
difficult to cure. They may need to be surgically removed.
- Surgery may be needed if urinary tract problems, such as
narrowing of the bladder neck or urethra, are causing the
- Surgical removal of the prostate (prostatectomy) for repeated infections is rarely used
and is used only as a last resort.
Chronic prostatitis/pelvic pain syndrome, inflammatory
chronic prostatitis/pelvic pain syndrome, inflammatory, may be difficult.
- Antibiotics are tried first. If your symptoms
do not improve, treatment with these medicines is usually
- Muscle relaxants and
alpha-blockers may be used if muscle spasms are
causing pain or problems urinating.
- Medicines to reduce inflammation, such as nonsteroidal anti-inflammatory drugs (NSAIDs), may
- 5-alpha reductase inhibitors, medicines that slow
the growth of the prostate, may be used.
- Massaging the prostate 3
or 4 times a week may help relieve symptoms.
biofeedback, or relaxation techniques may help reduce
stress that is contributing to the pain.
- Certain plant extracts, such as bee pollen extract (Cernilton) or quercetin (Prosta-Q) may provide some relief.1
Chronic prostatitis/pelvic pain syndrome, noninflammatory
Chronic prostatitis/pelvic pain syndrome, noninflammatory, is difficult to treat because it is not clear what
causes this form of prostatitis. The primary goal of treatment is to relieve
symptoms. Many treatments are tried, including:
- Nonnarcotic pain medicines.
- Muscle relaxants.
- Medicines to reduce anxiety.
therapy, exercise, massage therapy, biofeedback, or stress reduction. These may help some men.
- Certain plant extracts, such as bee pollen extract (Cernilton) or quercetin (Prosta-Q). These may provide some relief.1