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Treatment of prostatitis
1Department of Family and Community Medicine at the University of Missouri-Columbia School of Medicine, 65212, USA.
American Family Physician
|June 6, 2000
Summary
Prostatitis, prostate inflammation, presents with diverse symptoms. Differentiating causes and treating with antibiotics or other therapies is key for symptom relief.
Area of Science:
- Urology
- Infectious Diseases
Background:
- Prostatitis encompasses diverse prostate inflammation disorders, from acute bacterial infections to chronic pain.
- Symptoms vary widely, including urinary issues, fever, pain, and sexual dysfunction.
- Physical examination alone often insufficient for diagnosis.
Purpose of the Study:
- To outline diagnostic approaches for prostatitis.
- To discuss therapeutic strategies for different prostatitis types.
Main Methods:
- Microscopic examination and cultures of urine and prostatic secretions.
- Diagnostic trial of antibiotics for suspected occult infections.
- Evaluation for nonbacterial causes if antibiotic therapy fails.
Main Results:
- Laboratory tests can help differentiate infectious from non-infectious prostatitis.
- Antibiotic trials are crucial, even without clear bacterial evidence.
- Treatment duration varies, with some cases requiring prolonged antibiotic courses.
Conclusions:
- Accurate diagnosis of prostatitis requires a combination of clinical evaluation and laboratory testing.
- Antibiotic therapy is a cornerstone for bacterial prostatitis and suspected occult infections.
- Nonbacterial prostatitis may require anti-inflammatory drugs, alpha-blockers, or anticholinergic agents for symptom management.