Prostatitis is inflammation of the prostate gland causing pain in perineal area. Patients can also present with painful ejaculation, increased urinary frequency, blood in urine or cloudy urine. Fever may be a sign of bacterial prostatitis.
Medications:
Acute prostatitis
- Tab. Ibugesic ASP (Aceclofenac 100 mg, Paracetamol 325 mg, Serratiopeptidase 15 mg) 1 tablet twice a day with food for 5 days.
- Tab. Pantakind 40 (Pantoprazole 40 mg) one tablet a day on empty stomach for 5 days.
- Tab. Ceftas 200 (Cefixime 200 mg) 1 tablet twice a day for 5 days.
- Cap. Microdox-LBX (Doxycycline 100 mg, Lactobacillus 5 billion spores) 1 capsule twice a day for 10 days.
- Tab. Flodart SR 0.4 (Tamsulosin 0.4 mg) 1 tablet once a day. Increase to 0.8 mg once a day if needed.
Chronic Prostatitis
- Cap. Microdox-LBX (Doxycycline 100 mg, Lactobacillus 5 billion spores) 1 capsule twice a day for 10 days.
- Tab. Flodart SR 0.4 (Tamsulosin 0.4 mg) 1 tablet once a day. Increase to 0.8 mg once a day if needed.
- For persistent symptoms – consider TURP (transurethral resection of prostrate) surgery.
General advice:
- Ensure adequate hydration
- High fibre diet
- Avoid alcohol, coffee, tea during acute phase.
Investigations:
- Complete blood count – to assess infection.
- Urine culture and sensitivity – to identify the infecting microbes and antibiotic sensitivity.
- USG abdomen – to assess prostate size and other pathologies.
Referral:
Consider referral to urologist if patients fail to respond to the treatment or present with additional complications.