If the culture results suggest that enroflaxin is appropriate, it would be an excellent choice to use, as it can be given at high doses for a lengthy interval of time while being relatively free of side effect. In addition, it has been my experience that this antibiotic causes very minimal if any effect on working ability and energy levels, so that most dogs can be worked while being medicated. Prostatic cysts or abscesses almost invariably require surgical intervention for drainage. Surgical specialists are typically required for this type of procedure, and will usually recommend a biopsy be taken at the same time as surgery. Tumors of the prostate are usually severe, and while surgery is required, the prognosis at best is very guarded.
Prostatic hypertrophy requires medical treatment, and results can be highly variable.
For many years estrogenic compounds were used, but these products have fallen into sharp disfavor due to the their potential for consequential side effect, and in some cases they can even exaggerate the problem. There are two drugs that have been used with relative success with this problem. While neither is approved for use in male dogs, both have been used with some frequency and reports have been promising. Progestagens can be used to relieve symptoms and maintain sperm counts, but there are some concerns with the overall general health of the animal when these products are used long term. Both of these products show considerable promise for treatment of prostatic hypertrophy and hopefully additional research will alleviate the concerns regarding their use.