Prostate Restored
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Why does prostatitis come and go?

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.

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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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How can I ease the pain of prostatitis?

Nonsteroidal anti-inflammatory medicines, such as ibuprofen or naproxen, and hot soaking baths may help you feel better. Some men get better by taking medicines that help the way the bladder or prostate gland work. These medicines include oxybutynin, doxazosin, prazosin, tamsulosin and terazosin.

Prostatitis is common and affects many men at some time. Prostatitis is an inflammation of the prostate gland. When part of your body is inflamed, it is red, hot and sore. Prostatitis can cause many symptoms. It can make it difficult or painful to urinate. It can make you have to urinate more often. It can also give you a fever, low-back pain or pain in your groin (the area where the legs meet your body). It may make you less interested in having sex or unable to get an erection or keep it. Prostatitis is easy to confuse with other infections in the urinary tract.

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