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Ency. home > Disease > P > Prostatitis - non-bacterial

Prostatitis - non-bacterial   

Overview | Symptoms | Treatment | Prevention

Alternative names:

NBP; Prostatodynia; Pelvic pain syndrome

Treatment

Treatment for non-bacterial prostatitis is difficult, and often is aimed at treating the symptoms.

MEDICATIONS:
Many of the patients are treated with long term antibiotics to assure that bacteria is not the cause of the prostatitis. Common antibiotics used for chronic bacterial prostatitis include:

  • Trimethoprim-sulfamethoxazole
  • Ciprofloxacin
  • Tetracycline
  • Penicillin

Other medications have also been used. Medications to relieve prostatic urinary obstruction which include drugs like doxazosin, terazosin, and tamsulosin are successful in many patients. Anti-inflammatory agents such as aspirin, ibuprofen, and other non-steroidal anti-inflammatory drugs may relieve the symptoms in some patients.

Stool softeners (such as colace) may be recommended to reduce the discomfort associated with bowel movements.

SURGERY:
Transurethral resection of the prostate may be done if medical therapy is unsuccessful. This surgical treatment is usually not performed on younger men because it carries potential risks for sterility, impotence, and incontinence.

OTHER THERAPY:
Warm tub baths or sitz baths may provide some relief of the perineal and lower back pain associated with acute prostatitis.

Prognosis

Many patients respond to different treatments. Some patients are not relieved despite multiple different treatment modalities. Symptoms often recur after treatment and may become refractory to treatment.

Complications

Unresolved symptoms of NBP may cause significant changes in lifestyle and emotional well-being.

Call Your Health Care Provider If:

Call your health care provider if symptoms of prostatitis occur.

Ency. home > Disease > P > Prostatitis - non-bacterial


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