Prostatitis

Kidney & Men's Health

Prostatitis is inflammation of the prostate gland that can be caused by bacterial infection or occur without infection (chronic pelvic pain syndrome). It often leads to pelvic or perineal pain, urinary frequency, urgency, painful urination, and discomfort during or after ejaculation. Acute bacterial prostatitis typically presents with fever, chills, and a tender, enlarged prostate, while chronic forms cause milder, recurring symptoms. Diagnosis is based on history, physical exam, urine or prostatic fluid cultures, and sometimes imaging. Treatment depends on the type—ranging from antibiotics for bacterial causes to alpha-blockers, anti-inflammatories, or pelvic floor therapy for chronic nonbacterial cases.

AI Summary of Treatment Experiences

Not medical advice.

# Prostatitis Treatment Summary Fluoroquinolones (levofloxacin and ciprofloxacin) are first-line antibiotics for bacterial prostatitis due to excellent prostate tissue penetration and broad-spectrum coverage, though side effects like tendon rupture and QT prolongation require monitoring. Ceftriaxone is preferred for severe acute cases requiring hospital care, while alternatives like doxycycline, trimethoprim-sulfamethoxazole, and amoxicillin-clavulanate are useful for specific pathogens or when fluoroquinolone resistance occurs. Tamsulosin provides symptom relief in chronic prostatitis by relaxing prostate smooth muscle and improving urine flow, complementing antibiotic therapy without treating infection directly.