What is the role of medication in the treatment of prostatitis?

Updated: Dec 06, 2018
  • Author: Paul J Turek, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Answer

The different prostatitis categories are treated with various medical therapies, depending on the underlying pathology. Antibiotic therapy is essential in the treatment of acute bacterial prostatitis. If the patient is having systemic symptoms, then admission is warranted for intravenous antibiotics, hydration, and analgesia.

Therapy for chronic bacterial prostatitis varies with the type and duration of antibiotics used. Treatment typically consists of 4-8 weeks of prostate-penetrating antibiotics, such as fluoroquinolone or trimethoprim-sulfamethoxazole.

Chronic prostatitis, chronic pelvic pain syndrome, and asymptomatic inflammatory prostatitis may be treated with alpha-blocking agents or diazepam with sitz baths.


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