Acute prostatitis

Acute prostatitis usually responds well to antibiotic therapy, with most patients becoming asymptomatic in due course. Time to resolution of symptoms depends largely on the initial severity of disease. For patients who present with severe acute symptoms, it is important to ensure that their course of antibiotics is completed in its entirety. Providing adequate and prompt treatment ensures that most patients become asymptomatic and that prostatitis does not recur.

Some men have a single episode of acute prostatitis, treated successfully with antibiotic therapy, then go on to develop chronic prostatitis. It is not possible to predict which patients are likely to develop chronic disease. Troublesome voiding dysfunction and localized pain can recur intermittently for many years in this group and can be distressing and even disabling for some.[49]Rees J, Abrahams M, Doble A, et al. Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline. BJU Int. 2015 Oct;116(4):509-25. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5008168 http://www.ncbi.nlm.nih.gov/pubmed/25711488?tool=bestpractice.com