What Are The Common Treatment Of Chronic Bacterial Prostatitis?

Chronic Bactrial Prostatitis treatment requires prolonged courses, usually takes 4–8 weeks, of antibiotics that penetrate the prostate well. Take note that β-lactams and nitrofurantoin are ineffective. These include quinolones (ciprofloxacin, levofloxacin), sulfas (Bactrim, Septra) and macrolides (erythromycin, clarithromycin). Persistent infections may be helped in 80% of patients by the use of alpha blockers (tamsulosin (Flomax), alfuzosin), or long term low dose antibiotic therapy.

Recurrent infections may be caused by inefficient urination, a benign prostatic hypertrophy, neurogenic bladder, prostatic stones or a structural abnormality that acts as a reservoir for infection.

The addition of prostate massage to courses of antibiotics was previously proposed as being beneficial. However, in more recent trials, this was not shown to improve outcome compared to antibiotics alone.