It is hypothesised that these factors may cause congestion of the prostate gland which produces an excellent breeding ground for various bacteria. Prostatic secretions contain increased levels of WBCs and more concentrated bacterial growth upon culture. Treatment Most antibiotics are not able to adequately penetrate the prostate tissue. Often, infectious organisms continue to persist in the prostatic tissue despite treatment. Once antibiotic treatment has ended, often the person may develop a recurrence of symptoms.
Chronic prostatitis is treated with an extensive course of antibiotics.
Trimethoprim-sulfamethoxazole and tetracycline derivatives are commonly used. The course of antibiotic therapy is long, frequently 6 to 8 weeks and recurrence is common. Transurethral resection of the prostate may be done if antibiotic therapy is unsuccessful. This surgical treatment is usually not performed on younger men because it carries potential risks for sterility, impotence , and incontinence . Frequent and complete urination is recommended to decrease the symptoms of urinary frequency and urgency.