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Is it normal for prostatitis to come back?

A prostate infection may come back because antibiotics weren't able to get deep enough into the prostate tissue to destroy all of the bacteria. Or it's possible that the original antibiotic wasn't effective against the specific bacterium causing the infection.

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What are the treatment options for a recurrent prostate infection? Answer From Patricio C. Gargollo, M.D. A recurring prostate infection is usually treated with antibiotics. Also known as chronic bacterial prostatitis, this infection is caused by bacteria in the prostate gland. A prostate infection may come back because antibiotics weren't able to get deep enough into the prostate tissue to destroy all of the bacteria. Or it's possible that the original antibiotic wasn't effective against the specific bacterium causing the infection. To treat a prostate infection that keeps coming back, you might need to: Try a different antibiotic. One type of antibiotic might work better than another for your infection. One type of antibiotic might work better than another for your infection. Take a longer course of an antibiotic. You might need a course of antibiotics that lasts six weeks or longer. You might need a course of antibiotics that lasts six weeks or longer. Use additional medications to help relieve bothersome symptoms. For example, drugs called alpha blockers can relieve urinary symptoms and anti-inflammatory medications such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve) can ease pain. If you're prescribed antibiotics, take them exactly as instructed, even if you begin to feel better. Missing doses or not taking the full course of antibiotics may interfere with the antibiotic's ability to completely kill the bacteria. If you have recurring prostate infections that don't improve with treatment, see a doctor who specializes in men's urinary and reproductive health (urologist). You might need to have fluid taken from your prostate to determine the bacterium causing the problem and the antibiotic that is likely to work best. It's also possible you may have a form of prostatitis that isn't caused by a bacterium. You might need a CT scan or a procedure used to see inside your urinary bladder and urethra (cystoscopy) to look for other causes for your symptoms. A urologist can look for any underlying problems, such as a blockage, that would prevent treatment from being effective or make you more vulnerable to infection.

With Patricio C. Gargollo, M.D.

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Can an enlarged prostate come and go?

The symptoms of an enlarged prostate may be mild or come and go, and as a result, most men wait several months, even years, before seeing a doctor. In general, waiting to see a physician does not pose a problem.

A man’s feelings about his symptoms are a major factor in determining the most appropriate treatment. If the man is extremely unhappy with his symptoms, he may elect a more aggressive, immediate form of therapy. If he is only mildly bothered but still wishes to pursue treatment, he may elect to use medications. Take the BPH Symptom Quiz to help understand the severity of your symptoms. To quantify the effect of urinary symptoms on a man’s quality of life, urologists use a symptom questionnaire developed by the American Urological Association. The higher the score on the questionnaire, the more likely the patient needs aggressive treatment.

Evaluation & Testing

A man being evaluated for enlarged prostate will also receive a rectal exam and a have his blood drawn to measure his body’s prostate specific antigen (PSA). These steps verify whether the symptoms are the result of an enlarged prostate or could be caused by a prostate infection or prostate cancer.

Treatments

Treatment is available when the symptoms an enlarged prostate are affecting your quality of life or are so severe that they put you at risk for serious complications like urinary tract infections or bladder or kidney damage.

Treatments include:

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