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Why will my prostatitis not go away?

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.

mayoclinic.org - Recurrent prostate infection: What are the treatment options? - Mayo Clinic

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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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What stage are most prostate cancers diagnosed?

Approximately 80 percent to 85 percent of all prostate cancers are detected in the local or regional stages, which represent stages I, II and III. Many men diagnosed and treated at the local or regional stages will be disease-free after five years.

hopkinsmedicine.org - Prostate Cancer Prognosis | Johns Hopkins Medicine

In general, the earlier prostate cancer is caught, the more likely it is for a man to get successful treatment and remain disease-free. The overall prognosis for prostate cancer is among the best of all cancers. It’s important to keep in mind that survival rates and likelihood of recurrence are based on averages and won’t necessarily reflect any individual patient outcome. The prognosis for prostate cancer depends on many factors. Your doctor will offer insight and advice based on your specific disease.

High Cure Rates for Local and Regional Prostate Cancers

Stage IV Prostate Cancer Prognosis

Prostate cancers detected at the distant stage have an average five-year survival rate of 28 percent, which is much lower than local and regional cancers of the prostate. This average survival rate represents stage IV prostate cancers that have metastasized (spread) beyond nearby areas to lymph nodes, organs or bones in other parts of the body.

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