Most cases of acute prostatitis clear up completely with medication and slight modification of diet and behaviors.
MEDICATIONS:
Prostatitis is treated with antibiotics, most often trimethoprim-sulfamethoxazole (Bactrim), fluoroquinolones (Floxin or Cipro), and tetracycline derivatives.
For men with prostatitis caused by an STD, a 250 mg shot of ceftriaxone followed by a 10-day course of doxycycline or ofloxacin. For other bacterial causes, a standard course of treatment consists of Bactrim, Cipro, or Floxin for at least 4 weeks.
Because recurrence is common, some health care providers recommend even longer therapies -- 6 to 8 weeks -- to eliminate the infection. In severe cases, hospitalization and intravenous (IV) antibiotics may be required .
Stool softeners may reduce the discomfort associated with bowel movements.
SURGERY:
Surgery or urethral instrumentation (urinary catheterization or cystoscopy) are not recommended for patients with acute prostatitis.
OTHER THERAPY:
Frequent and complete urination is recommended to decrease the symptoms of urinary frequency and urgency.
If the swollen prostate restricts the urethra, the bladder may be unable to empty and insertion of a suprapubic catheter, which allows the bladder to drain through the abdomen, may be necessary.
Warm baths may provide some relief of the perineal and lower back pain associated with acute prostatitis.
DIET:
Avoid substances that irritate the bladder, such as alcohol, caffeinated food and beverages, and citrus juices, and hot or spicy foods.
Increasing the intake of fluids (64 to 128 ounces per day) encourages frequent urination that will help flush the bacteria from the bladder.
MONITORING:
Follow-up should include an examination at completion of antibiotic therapy to ensure that infection is no longer present.
