The Main Facts Regarding Prostatitis Antibiotic Treatment

By Marguerite Stanton


There are several options for management of prostatitis. These may be pharmacological, surgical or changes in lifestyle. The choice is largely depended on the severity of the condition. In considering prostatitis antibiotic treatment, it is important to establish whether the disease is in the acute or chronic stage.

An acute infection is one that has not lasted beyond two weeks. A chronic one, one the other hand, has lasted for a minimum of three months. The main difference between the two stages is the duration for which drugs are administered. An acute case is typically cured in four to six weeks while a chronic one takes a little longer than that. The drugs used include trimethoprim-sulfamethoxazole combined with ciprofloxacin. Other alternatives commonly used are erythromycin, tetracycline, nitrofurantoin and carbenicillin.
A common challenge with these drugs is their failure to adequately penetrate the glandular tissue. This fact prolongs the duration of time required to eliminate the causative organism. The presence of small stones in the glands of some patients is the other factor that slows down treatment. Many patients often complain of return of symptoms after they have been treated. This is more likely to occur in persons that are not compliant to medication.

Patients that have severe infections often need hospitalization. The drugs used here include cephalosporins, ampicillin and an aminoglycoside such as gentamicin or amikacin which are given intravenously. These patients frequently have severe obstruction that prevents urine flow thus also require a catheter to be inserted through the urethra so as to relieve the symptoms.

Presence of infections in the lower urinary tract worsens prostatitis and patients are for this reason advised to avoid them. Since many of the patients who regain the symptoms are also poorly compliant to drugs, the general advice is that all medication must be taken to completion. This is important in controlling resistance of the organisms to the drugs.

Surgery in combination with lifestyle changes is recommended for patients that fail to respond positively to prostatitis antibiotic treatment. Transurethral resection of the bladder is one of the surgical meth
Patients that have severe infections often need hospitalization. The drugs used here include cephalosporins, ampicillin and an aminoglycoside such as gentamicin or amikacin which are given intravenously. These patients frequently have severe obstruction that prevents urine flow thus also require a catheter to be inserted through the urethra so as to relieve the symptoms.

Presence of infections in the lower urinary tract worsens prostatitis and patients are for this reason advised to avoid them. Since many of the patients who regain the symptoms are also poorly compliant to drugs, the general advice is that all medication must be taken to completion. This is important in controlling resistance of the organisms to the drugs.

Surgery in combination with lifestyle changes is recommended for patients that fail to respond positively to prostatitis antibiotic treatment. Transurethral resection of the bladder is one of the surgical methods of controlling chronic infections. It has a good outcome but may be unsuitable for younger men because of a high risk of causing sterility and impotence. The consumption of alcohol, citrus juices and caffeine should be reduced and in their place fluid intake should be increased.




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