What is included in long-term monitoring 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

Patients should be followed up 4-6 weeks after initial presentation and further management should be guided by their symptoms.

If the patient is treated long-term with antibiotics, ensure that repeat localization studies of the prostate (ie, pre– and post–prostatic massage urine cultures after treatment) are conducted to conclude that the bacteria have been eliminated. If repeat cultures return positive results, prescribe a second course of antibiotics with a drug that has a different mechanism of action.

If repetitive courses of antibiotics fail but the patient has improved symptoms while on antibiotics, consider long-term, low-dose, suppressive therapy. Alternatives for suppressive therapy include single-strength TMP/SMX (one tablet qhs), trimethoprim (100 mg qhs), ciprofloxacin (250 mg qhs), and ofloxacin (200 mg qhs).


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