Follow the directions on the bottle carefully. Take the antibiotics at the same time every day. For acute prostatitis, antibiotics are taken for 2 to 6 weeks.
Chronic prostatitis may be treated with antibiotics for 4 to 8 weeks if an infection is found. Finish all the antibiotics, even if you start feeling better. It is harder for antibiotics to get into prostate tissue to treat the infection. Taking all of your antibiotics will reduce the chance of the condition returning. Antibiotics may cause side effects. These include nausea or vomiting, diarrhea, and other symptoms. Report these to your doctor.
DO NOT just stop taking your pills. Nonsteroidal anti-inflammatory drugs NSAIDs , such as ibuprofen or naproxen, may help with pain or discomfort. Ask your doctor if you can take these. Avoid substances that irritate the bladder, such as alcohol, caffeinated beverages, citrus juices, and acidic or spicy foods.
Drink plenty of fluids, 64 or more ounces 2 or more liters per day, if your doctor says this is OK. This helps flush bacteria from the bladder. It can also help prevent constipation.
See your health care provider for an exam after you finish taking antibiotics to make sure that the infection is gone. Prostatitis that is not caused by infection is often chronic. If you have this kind of prostatitis, you might have to take medicine for a long time. Although prostatitis can cause you trouble, it does not cause cancer.
There is a blood test some doctors use for prostate cancer called the prostate-specific antigen test called the PSA, for short.
If you have prostatitis, your PSA level might go up. This does not mean you have cancer. Your doctor will treat your prostatitis and may check your PSA level again. Already a member or subscriber? Log in. Interested in AAFP membership? Learn more. This handout is provided to you by your family doctor and the American Academy of Family Physicians. This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.
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Am Fam Physician. What is prostatitis? What is the prostate gland? What causes prostatitis? How is prostatitis treated? Unfortunately, these conditions have not been well studied, and most recommendations for treatment, including those given here, are based primarily on case series and anecdotal experience. For these reasons, many men and their physicians find prostatitis to be a challenging condition to treat.
Already a member or subscriber? Log in. Interested in AAFP membership? Learn more. Louis and completed a residency in family practice and an academic medicine fellowship in the Department of Family and Community Medicine at the University of Missouri—Columbia. Address correspondence to James J.
Stevermer, M. Reprints are not available from the authors. Stamey TA. Urinary symptomatology in younger men. How common is prostatitis? A national survey of physician visits. J Urol. Bacteriologic localization patterns in bacterial prostatitis and urethritis.
Invest Urol. Moon TD. Questionnaire survey of urologists and primary care physicians' diagnostic and treatment practices for prostatitis. Nickel JC. Tech Urol. Prostatitis: myths and realities.
Treatment of chronic bacterial prostatitis with temafloxacin. Am J Med. Diagnosis and treatment of patients with prostatitis syndromes. Norfloxacin versus cotrimoxazole in the treatment of recurring urinary tract infections in men. Scand J Infect Dis Suppl. Treatment of bacterial prostatitis. Comparison of cephalexin and minocycline. Meares EM. Med Clin North Am.
Chesley AE, Dow D. Use of trimethoprim-sulfamethoxazole in chronic prostatitis. Trimethoprium-sulfamethoxazole and minocycline-hydrochloride in the treatment of culture-proved bacterial prostatitis.
Cox CE. Ofloxacin in the management of complicated urinary tract infections, including prostatitis.
Bacteria in the prostate tissue of men with idiopathic prostatic inflammation. Ameliorative effect of allopurinol on nonbacterial prostatitis: a parallel double-blind controlled study. Changes in white blood cell counts in men undergoing thrice-weekly prostatic massage, microbial diagnosis and antimicrobial therapy for genitourinary complaints.
Br J Urol. Nickel JC, Sorensen R. Transurethral microwave thermotherapy for nonbacterial prostatitis: a randomized double-blind sham controlled study using new prostatitis specific assessment questionnaires. Minocycline in chronic abacterial prostatitis: a double-blind prospective trial. Prostate-specific antigen and prostatitis in men under fifty. Eur Urol. Guest editor of the series is Robert L. Blake Jr. This content is owned by the AAFP.
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This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv aafp.
Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. Previous: Diary from a Week in Practice. May 15, Issue. Treatment of Prostatitis. Diagnosis Prostatitis is not easily diagnosed or classified. Categorizing Prostatitis Traditionally, prostatitis has been divided into four subtypes based on the chronicity of symptoms, the presence of white blood cells in the prostatic fluid and culture results. Asymptomatic Prostatitis Information presented at the NIH consensus conference added asymptomatic prostatitis as a new category, partly because of the widespread use of the prostate-specific antigen PSA test.
Recommendations for a General Approach Although evidence to support them is scarce, the following recommendations are offered. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue. Purchase Access: See My Options close. Best Value!
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