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Prostatitis: treatment

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Treatment
Acute Bacterial Prostatitis (ABP)
If you are very symptomatic, or sick, you may need to be admitted to the hospital to be treated with intravenous antibiotics. If your symptoms are not severe, antibiotics taken in a pill form can be effective. The antibiotics may be prescribed from two weeks to a month, and it is very important that you take the pills for the length of time prescribed by the doctor. Many men have the tendency to want to stop taking the medication when they feel better, or when their symptoms have gone away. This may result in the infection returning, or becoming a chronic problem. Analgesics or pain medications may be prescribed to relieve pain and discomfort.

Chronic Bacterial Prostatitis (CBP)
Also treated by antibiotics, but they are required for one to three months. Again, it is very important that you take the pills for the length of time prescribed by the doctor.

Non-bacterial prostatitis and prostatodynia
As these forms are not caused by bacteria, antibiotics will not help. Medications that relax the tissue of the prostate called alpha-adrenergic blockers may be prescribed. More natural methods may be suggested such as:
  • warm baths
  • diet changes (avoid caffeine, alcohol,
  • spicy or acidic foods)
  • relaxation exercises
  • frequent ejaculation
  • acupuncture

Are there other options?
If your prostatitis is caused by an abnormality of your anatomy, for example, if the urethra is narrowed and is not letting the urine flow out of the body freely, surgery may be an option.
Microwave thermotherapy is an experimental technique that heats the prostate, and is used as a treatment alternative for TURP (see benign prostatic hyperplasia). Thermotherapy has also been used in some cases of refractory non bacterial prostatitis, however, it's effectiveness is not known. Experimental results suggest that many men (up to 70%) may be helped by trans urethral thermotherapy when all other methods have failed. These results are preliminary and need to be verified before one can be certain of the effectiveness of this treatment. This procedure is not covered by OHIP, and the cost for the procedure is $2500.00 at The Prostate Centre.

Surgical treatment for prostatitis is only recommended in certain situations, and is not considered the first method of treatment. It should only be considered an option after discussed fully with your doctor.

Remember:

  • prostatitis is not sexually transmitted.
  • not all treatments are completely effective, and the doctor may need to modify treatment, or change it according to your response.



If you require more information, please call The Prostate Centre at 416-946-2100.

The Prostate

 

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LAST REVISED: Tuesday, March 9, 2004 19:24
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