From the Research
Inpatient Treatment Options for Prostatitis
The treatment options for prostatitis vary depending on the category and severity of the condition.
- Acute Bacterial Prostatitis: This condition is typically treated with antimicrobials and drainage of the bladder to prevent urinary flow obstruction 1, 2, 3.
- Chronic Bacterial Prostatitis: Treatment involves prolonged antibiotic therapy, with fluoroquinolones being the preferred agents due to their ability to penetrate prostatic tissue 4, 2.
- Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS): The focus of therapy is symptomatic relief, with a 4- to 6-week course of a fluoroquinolone being the first therapeutic measure 1. Second-line pharmacotherapy involves anti-inflammatory agents and alpha-adrenergic receptor antagonists (alpha-blockers) 1, 4.
- Asymptomatic Inflammatory Prostatitis: This entity is, by definition, asymptomatic and is often left untreated 1, 3.
Pharmacologic Interventions
Pharmacologic interventions play a crucial role in the treatment of prostatitis.
- Antibiotics: Fluoroquinolones are the preferred agents for treating bacterial causes of prostatitis 4, 2.
- Alpha-blockers: These agents can help alleviate urinary symptoms in patients with CP/CPPS 1, 4.
- Anti-inflammatory agents: These agents can help reduce pain symptoms in patients with CP/CPPS 1, 4.
Surgical Interventions
Surgical interventions may be considered for treatment-refractory patients.
- Transurethral microwave therapy: This procedure has shown some promise in ablating prostatic tissue 1.