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Prostatitis: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

There are two main types of prostatitis. One is chronic prostatitis which is the most common type of prostatitis. And the other one is acute prostatitis which is caused by bacterial infection of the prostrate gland. Chronic prostatitis are mainly of two types where one is caused by persistent infection with a germ which is generally bacterial infection. Other one is chronic prostatitis or chronic pelvic pain syndrome cause of which is not yet fully understood. Treatment of this may include antibiotics and other medicines. Antibiotics are the most common therapy to treat the chronic bacterial prostatitis. Chronic bacterial prostatitis in patients with prostatic calculi is more difficult to cure. Acute prostatitis is usually caused by same bacteria that cause urinary tract infections or sexually transmitted diseases. At first the treatment is commenced by prescribing antibiotics for four to six weeks. Treatments may last longer if the patients have recurrent episodes. The type of antibiotic depends on the bacteria causing such condition. Doctors also prescribe alpha blockers. Doctors may also recommend over-the-counter pain relievers such as acetaminophen and ibuprofen. Acute bacterial prostatitis is a medical emergency. Some antibiotics have very poor penetration of prostatic capsule but some penetrate very well which are as follows- ciprofloxacin, co-trimoxazole and tetracyclines such as doxycyclines (in case of CBP). Severely ill patients may be hospitalized while others can be treated at home with bed rest, analgesics, stool softeners and hydration. Acute bacterial prostatitis require prompt recognition and treatments it may lead to sepsis. Non-steroidal anti-inflammatory drugs may offer both analgesia and more rapid healing by liquefaction of prostatic secretions. If patients fail to improve through antibiotics a prostatic abscess is suspected. When the disease is mild or moderate- Trimethoprim, Cephalexin, Amoxicililin and Clavulanic acid are used. If it appears septic parenteral therapy is used.

How is the treatment done?

Chronic prostatitis can be challenging to treat because very little is known about the cause of the chronic condition. In most cases there is not a bacterial infection. Prostatitis caused by a bacterial infection will usually be successfully treated with antibiotics. If chronic prostatitis seems to be caused by a bacterial infection then a four to six week course of antibiotic tablets is prescribed. A type of medication is also prescribed which is known as an alpha blocker. Alpha blockers assist in relaxing the muscles in the prostate gland and the base of the bladder and thus can help to improve the problems with urination, like difficulty in passing urine. After the completion of the course of antibiotics generally a urine or semen test is prescribed to check if any bacteria is still remaining in the prostate gland of the patient or near to it. If the test results are positive then a further course of antibiotics will be needed. Now if the cause does not seem to be any bacterial infection then antibiotics are not a necessary. In the case of which it is treated with medications like alpha blockers, paracetamol and ibuprofen. There are other medications too which can be beneficial for treating non-bacterial chronic prostatitis but evidence of effectiveness of treating with those medicines are very limited. The medications of such type include finasteride which is used in treating prostate enlargement, fluoxetine is an antidepressant medicine which treats depression of the patient, gabapentin is a medicine which is used in the treatment of chronic pain, amitriptyline in its low doses treats pain and bladder problems and aids sleep as well. As acute prostatitis is treated with antibiotic tablets. Pain is relieved through paracetamol and/or ibuprofen. In case of severe pain a strong painkiller like codeine is prescribed.

Who is eligible for the treatment? (When is the treatment done?)

People who are suffering from acute bacterial prostatitis are eligible for treatment and should immediately consult doctor because this type of prostatitis is a medical emergency. People with serious ailment should consult doctor before starting the treatment.

Who is not eligible for the treatment?

There are certain drugs which are proven to be risky for patients with lung or heart transplants. This may even be risky for men of sixty years of age or over. So it is better to consult doctors to find ways of some alternative treatments.

Are there any side effects?

Ciprofloxacin is a fluoroquinolone antibiotic treatment that is taken for acute bacterial or chronic bacterial prostatitis. CIPRO and other Fluoroquinolones including CIPRO are associated with an increased risk of tendinitis which is the inflammation of the tissue that connects muscle to bone and tendon rupture which is a separation of the tissue connecting muscle to bone in all ages. But this risk is increased further in older patients of over sixty years of age. This risk is increased in patients with kidney, heart or lung transplants. Fluoroquinolones may also cause exacerbate muscle weakness in patients suffering from myasthenia gravis. Doxycycline and other tetracycline may cause permanent staining of teeth if used during teeth development. It may also be associated with diarrhoea which can be mild or fatal. It may interact with Coumadin leading to extreme thinning of blood. If Coumadin is taken before doxycycline, reduction of its dose is required.

What are the post-treatment guidelines?

Though having prostatitis does not neccessarily increase the risk of developing of prostate cancer or any other diseases like other prostate or kidney diseases but it is recommended to continue to undergo regular examinations to detect prostate cancer even after prostatitis is cured. After the primary management and stabilization of the patient suffer from acute prostatitis , care should be appropriately transferred to an urologist. Aggressive treatments can also lessen the risk of developing chronic prostatitis. After the initial improvement through the parental antibiotic medicines, the acute bacterial prostatitis may be managed with outpatient care with a course of two to four weeks of oral antibiotic medicines and a urologic follow-up.

How long does it take to recover?

Prostatitis is a treatable condition where even if the problem does not get cured, relief from the symptoms can be achieved by following the treatment recommended by the doctors. If the cause of prostatitis is bacterial infection then a four to six weeks of antibiotics are generally prescribed. For chronic infectious prostatitis medicine is taken for a longer period of time usually six to twelve weeks. With this treatment chronic infectious disease get cleared up but if the case does not get solved then antibiotics are prescribed for a long time at a low dose which help to get a relief from the symptoms of the disease. Now for acute infectious prostatitis patients usually need to take antibiotic medicine for seven to fourteen days.

What is the price of the treatment in India?

Cost of prostate treatment in India will vary depending on the type of prostate the patient is suffering from and the procedure chosen to relieve the patient from his ailment. There are various states offering treatment. Hospitals like Fortis and Apollo have charge the patients differently depending upon the case.

Are the results of the treatment permanent?

It is healthy to continue regular examinations even after the prostatitis is cured. The treatment results are generally permanent. If the infection comes back the patients may be prescribed to take medicine for up to twelve weeks. There are cases where patients have recovered from prostatitis for five years or more. There are even some patients who have not recovered. Non-infectious prostatitis does not have a definitive cure and the treatment is generally aimed at controlling the symptoms causing it. Chronic prostatitis symptoms may seem to go away but then can also return without warning. Medications can help but the condition is unlikely to go away entirely. Thus, it can be concluded that permanency of the treatment is very much dependent on the type of prostatitis and the patient’s condition.

What are the alternatives to the treatment?

Some alternative treatments for prostatitis are as follows- drinking of copious amount of water is needed to keep the system flushed. Cranberry juice has the properties which can dislodge bacteria from bladder wall so that the loose invading bacteria are washed away. Patient should try to relax and free themselves from stress. Using herbs like Valerian, Scullcap help to relax muscles. Patients should eat lightly. They should have whole grains , steamed vegetables, fresh fruits and herb teas. Herbs like Buchu, Chamomile ,roots and leaves Comfrey which help relieve inflammation, Couch grass which is very helpful in treating enlarged and infected prostates, Camp bark , Garlic are also beneficial.

Popular Questions & Answers

I have got prostatitis for 6 years and I am 32 years old and have got serious urinary traction, ejaculation and affecting my sexual life too and l have already used some medicine such as ciprofloxacin vibramycin and tamsulosin with no affect all.

mbbs, ms general surgery, MCh [Urology & Kidney Transplant]
Urologist, Mangalore
You have to get urine and expressed prostatic secretion culture transrectal ultrasonography with usg abdomen pelvis get proper test and complete full course of medicine according to culture.

Frm past 6 months I have chronic prostatitis frm past one month im having tablets faronem 200 but no result nd today doctor have told me to do operation. Wht should I do.

MD - Homeopathy, BHMS
Homeopathy Doctor, Vadodara
You can take Homoeopathic Medicine. It can avoid surgery. And there are no side effects. You can consult me at lybrate for Homoeopathic treatment.

I have been diagnosed with prostatitis. Doctor gave me two antibiotics. I need to know if there are some herbs that can help as antibiotics don’t work always well. He gave me levofloxacin and gemifloxacin each for two weeks.

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
Hi, Kindly finish the antibiotics if already started for 2 weeks or otherwise you might develop resistance to the antibiotics and the drug will not work. First finish the course for 2 weeks and see if your problem gets better.

Hello Sir, I am having weird sensation and vibration at shaft of penis and periphery of scrotum. Doctors are saying it is prostatitis. I had been given flotral, levoflox and voveran sr. But no improvement. Please help me sir. What is this prostatitis. Is it a very tough problem?

MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
IVF Specialist, Meerut
Hello lybrate-user if you are not sexually active, infection should not be the problem, if you are active then make it a habit to wash your privates thoroughly before and after sex with plain water only, prostatitis is usually diagnosed with per r...
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