Chronic prostatitis

Complications Epididymitis and chronic prostatitis (uncommon) Male infertility (decreased sperm motility and viability) Pelvic inflammatory disease and associated complications (i.e., ectopic pregnancy, infertility) Premature labor, premature rupture of membranes, and low-birth-weight infants (risk of neonatal infections is low) Cervical neoplasia... 

Prostatitis E coli K pneumoniae Proteus spp. P aeruginosa 1. Trimethoprim-sulfamethoxazole x 4-6 weeks 2. Quinolone x 4-6 weeks Acute prostatitis may require IV therapy initially Chronic prostatitis may require longer treatment periods or surgery... 

The total course of therapy should be 4 weeks, which may be prolonged to 6 to 12 weeks with chronic prostatitis. 

Transmission in both cases was preceded by a clinical history of chronic prostatitis in the source patient. 

Melioidosis can spread from person to person by contact with the blood and body fluids of an infected person. Two documented cases of male-to-female sexual transmission involved males with chronic prostatic infection due to melioidosis. 

Treatment of acute and chronic prostatitis - 160 mg TMP/800 mg SMZ twice daily has been used for chronic bacterial prostatitis for up to 12 weeks. 

For lower UTI in women under 50 years of age, three days of therapy is superior than single dose therapy. In all other lower UTI 7-10 days of therapy is advised. In upper UTI 14 days is recommended. For prostatitis cotrimoxazole and fluoroquinolones reach high concentrations in the prostate but prolonged therapy (1-3 months) is necessary esp. in case of chronic prostatitis (less inflamed prostate, less penetration of the antibiotic). 

Category III prostatitis/chronic pelvic pain syndrome. Extract, administered to men 24 to 58 years old (mean age 43.2), diagnosed with category III prostatitis (CP)/ chronic pelvic pain syndrome (CPPS), at a dose of 325 mg daily for 1 year, produced no appreciable long-term improvement. There was a decrease of mean total National Institutes of Health Chronic Prostatitis Symptom Index score from from 24.7 to 24.6 in the saw palmetto arm (p = 0.41). There were three cases of headache in the saw palmetto group. At the end of the trial, 13 of 32... 

Taylor SE, Paterson DL, Yu VL. Treatment options for chronic prostatitis due to vancomycin-resistant... 

Eli G. Jones, one of the most "eclectic" of physicians (he was trained as an eclectic, homeopath, physiomedicalist, and allopathic physician), felt that saw palmetto was very useful for deficient impotence (sexual neurasthenia), loss of libido, infertility due to overwork (stress), exhaustion, and excessive childbearing. His symptom picture for prostate problems was succinct and accurate chronic prostatitis or enlargement of the gland with throbbing, aching, dull pain, and difficult, often painful urination. 

Acute bacterial prostatitis can be managed with many agents that have activity against the causative organism. Chronic prostatitis requires an agent that is not only active against the causative organism but also concentrates in the prostatic secretions. Therapy with trimethoprim-sulfamethoxazole or a fluoroquinolone is preferred for 4 to 6 weeks. 

A sulfonamide is unlikely to be effective as the sole antibacterial agent in the treatment of chronic prostatitis... 

Chronic bacterial prostatitis occurs when acute bacterial prostatitis has been inadequately treated because of pathogen resistance, relapse, or short-course therapy or because of blocked drainage of secretions from the prostate. Most men with chronic prostatitis will have had a previous bout of acute prostatitis. The most common clinical feature of chronic prostatitis is recurrent urinary tract infections and the symptoms and complaints of acute bacterial prostatitis. Fluoroquinolones, trimethoprim-sulfamethoxazole, doxycycline, and nitrofurantoin are used in the management of chronic prostatitis. Chronic prostatitis warrants at least 10 to 12 weeks of therapy. Poor clinical outcomes, however, have been observed because of poor diffusion of antimicrobials into the prostate. 

Traditional use The roots, flowers and leaves are used as an anti-inflammatory and to treat flu, sore throat, hepatitis, and urinary incontinence. They are also used to treat kidney stones, cystitis, prostate tumors, chronic prostatitis, and joint pain (Kurochkin 1998). 

Lee, C, B Ha, U S., Lee, S. J., Kim, S. W., Cho, Y-H. 2006. Preliminary experience with a terpene mixture versus ibuprofen for treatment of category III chronic prostatitis/chronic pelvic pain syndrome. World 24 55 60. 

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