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Treatment of bacterial prostatitis
1Department of Family and Community Medicine, University of Arizona College of Medicine, Tucson.
American Family Physician
|December 1, 1991
Summary
Bacterial prostatitis diagnosis relies on symptoms, physical exam, and microbiologic testing. Fluoroquinolones show promise for superior symptom control and cure in bacterial prostatitis treatment.
Area of Science:
- Urology
- Infectious Diseases
- Microbiology
Background:
- Bacterial prostatitis is distinct from nonbacterial forms.
- Diagnosis requires careful evaluation of clinical and microbiological data.
Purpose of the Study:
- To outline diagnostic approaches for bacterial prostatitis.
- To review treatment strategies for acute and chronic bacterial prostatitis.
Main Methods:
- Distinguishing bacterial from nonbacterial prostatitis using clinical symptoms, physical examination, and microbiologic testing.
- Analyzing fractionated urine specimens and expressed prostatic secretions for diagnosis.
- Evaluating antibiotic efficacy for bacterial prostatitis.
Main Results:
- Bacterial prostatitis can be acute (requiring inpatient parenteral antibiotics) or chronic (difficult to cure, requiring prolonged therapy).
- Trimethoprim-sulfamethoxazole and fluoroquinolones are key treatment agents.
- Fluoroquinolones demonstrate potential for better symptom control and microbiologic cure.
Conclusions:
- Accurate diagnosis is crucial for effective management of bacterial prostatitis.
- Treatment choice depends on disease acuity and chronicity.
- Fluoroquinolones represent a promising therapeutic option for bacterial prostatitis.