What is the role of surgery in the treatment of chronic bacterial prostatitis (CBP)?

Updated: Jan 15, 2019
  • Author: Samantha D Kraemer, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

Surgery is usually not indicated for chronic prostatitis. However, in select situations when a patient has recurrent episodes of chronic prostatitis and improves with antibiotics, transurethral resection of the prostate (TURP) or transurethral vaporization of the prostate (TUVP) may remove a nidus of infection. This nidus may be in the form of prostatic stones, which are difficult to treat with antibiotic therapy alone. These stones are usually visible on transrectal ultrasonograms.

TURP/TUVP is performed in a standard fashion after preoperative antibiotics have been administered. Routine preoperative evaluation should be performed when planning for TURP/TUVP, and routine postoperative care for TURP/TUVP should be administered in these patients.


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