Prostatitis drug therapy

If urine samples (obtained after a prostatic massage by the urologist), rectal examination and possibly ultrasound scans confirm infection, you will be diagnosed with bacterial prostatitis, and we will prescribe medication for you. Bacterial prostatitis comes in two forms:

  • Acute bacterial prostatitis (which starts suddenly) is usually treated witha course of antibiotics for between four and six weeks. However, this may be adjusted according to your specific test results.
  • Chronic bacterial prostatitis (a persistent, long-term infection) is likely to require a prolonged course of antibiotics (most likely ciprofloxacin). This may eventually resolve the problem, but taking these drugs on a long-term basis can cause problems. We therefore strongly recommend that you explore other ways to help yourself by improving your diet and general fitness, and trying a course of Arvigo massage therapy.

Non-bacterial prostatitis is far more common (90-95% of cases) and antibiotics are not helpful. Instead, we may prescribe anti-inflammatory drugs (such as Voltarol) and an alpha-blocker.

Who is it suitable for?

Men with generalised pelvic pain; urinary symptoms (frequent bladder emptying and/or burning sensation during urination); pain in the testes, penis or rectum; discomfort during or after ejaculation; aching in lower back, abdomen or inner thighs.

How does it work?

Antibiotics are used to kill the bacteria; drugs such as ibuprofen or Voltarol work to reduce the inflammation.

Where is it done?

Treatment is managed by us at The Prostate Centre.

How much does it cost?

The cost of any tests required will vary, but if you are insured should be covered by your policy, as well as the consultations. Drugs can be purchased from our Prostate Centre Pharmacy but are not covered by insurance. We suggest that you enquire about all costs before proceeding with treatment.

How can I make an appointment?

Mr Julian Shah is available on Wednesday afternoons. Please telephone our Patient Liaison team for an appointment on 020 7935 9720.