Acute bacterial prostatitis is treated with antibiotics such as flouroquinolones and trimethoprim-sulfamethoxazole administered intravenously, followed by a course of oral antibiotics.
In cases of chronic bacterial prostatitis or prostatodynia, surgery to remove part of the prostate is a treatment option. It is recommended for patients who experience chronic pain and serious complications, such as the following:
Transurethral resection of the prostate (TURP) is performed under general or regional anesthesia and takes less than 90 minutes.
Surgical removal of the prostate (prostatectomy) is very rarely indicated for treatment of prostatitis. Severe symptoms that do not improve after all other methods of treatment have been tried may be treated using this procedure.