Do Both Non-bacterial and Bacterial Prostatitis Require Antibiotic Treatment? Let's Find Out

Date:2023-12-04 click:0

Prostatitis, a common male urogenital system disease, is categorized based on infection factors into bacterial and non-bacterial types. Clinically, antibiotics are often used to treat prostatitis, but some patients don't see effective results.


In recent years, more people are asking: Do both non-bacterial and bacterial prostatitis need antibiotics? Let's explore this together!

First, let's understand the difference between non-bacterial and bacterial prostatitis.

Non-bacterial prostatitis is caused by an inflammatory response within the prostate tissue. The term "non-bacterial" means no bacteria are found. Bacterial prostatitis, however, is caused by bacterial invasion into the prostate tissue and can be detected through smear tests.

Symptomatically, the difference between non-bacterial and bacterial prostatitis includes:

1. Non-bacterial Prostatitis:

The symptoms of non-bacterial prostatitis are complex. Many patients have symptoms, but they are not obvious, including pelvic pain, abnormal urination, psychological abnormalities, and sexual dysfunction. The term "non-bacterial" doesn't mean symptomless but indicates the absence of significant pathogenic bacteria in prostate fluid cultures. It may be caused by mycoplasma, chlamydia, trichomonas, fungi, etc.

2. Bacterial Prostatitis:

Bacterial prostatitis is divided into acute bacterial prostatitis and chronic bacterial prostatitis.

During the acute phase, patients have significant urinary irritation symptoms, difficulty urinating, and perineal discomfort, often accompanied by chills, fever, and other systemic symptoms. Patients with chronic bacterial prostatitis primarily experience urinary discomfort, frequent nighttime urination, perineal discomfort, insomnia, and anxiety.

To determine whether prostatitis is bacterial or non-bacterial, several methods are used:

1. Prostatic Fluid Examination: A routine prostatic fluid examination helps determine if it's bacterial (significant white blood cells) or non-bacterial. Usually, three consecutive cultures are needed.

2. Urine Examination: An increase in white blood cells in urine also indicates bacterial prostatitis. This is often observed after prostate massage followed by a routine urine test, which can detect pathogenic bacteria in the prostate.

3. Imaging Tests: Tests like ultrasound, prostate CT, and MRI can reveal the presence of pus in the prostate, often indicating bacterial infection.

So, do both non-bacterial and bacterial prostatitis require antibiotics?

Non-bacterial prostatitis, mainly a non-infectious inflammation, often does not use antibiotics. Treatment focuses on symptom relief, inflammation suppression, and condition alleviation. Typically, non-steroidal anti-inflammatory drugs, painkillers, diuretics, etc., are used. 

Additionally, traditional Chinese medicine like Diuretic and Anti-inflammatory Pill can reduce inflammation and swelling, improving pain and abnormal urination, effectively treating chronic non-bacterial prostatitis, and reducing recurrence.

In contrast, bacterial prostatitis treatment often requires antibiotics, chosen based on the type of bacteria, generally including penicillin, cephalosporins, sulfonamides, etc. The antibiotics are adjusted according to the changing condition. 

However, many patients experience poor results after several rounds of antibiotics. In such cases, they can opt for traditional Chinese medicine like Diuretic and Anti-inflammatory Pill, which not only continuously kills bacteria but also eliminates the cause for a complete cure.

In summary, whether it's non-bacterial or bacterial prostatitis, patients need to determine the treatment plan based on their condition and test results, under the guidance of professional medical personnel. Self-medication should be avoided to prevent worsening the condition!

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