Chronic bacterial prostatitis: 10 years of experience with local antibiotics.
Direct transperineal infiltration of the prostate with antibiotics was performed in 24 selected patients with refractory chronic bacterial prostatitis. Diagnosis had been made following a modification of the classical lower tract localization studies. Remission periods of at least 6 months were obtained in 71 per cent of these patients after 1 or 2 infiltrations, while 6 of 24 (25 per cent) required several procedures to assume a long-term remission state and 1 (4 per cent) failed therapy (patient 24490). Seven patients had relapse after remission periods ranging from 13 months to 7 years. The last culture in 3 patients was positive. The value of the method compared to other therapeutic alternatives in the management of chronic bacterial prostatitis is discussed.
D000328:Adult; D001424:Bacterial Infections / Q000188:drug therapy*; D002437:Cefazolin / Q000008:administration & dosage*; D004927:Escherichia coli Infections / Q000188:drug therapy; D005839:Gentamicins / Q000008:administration & dosage*; D006801:Humans; D007267:Injections; D007710:Klebsiella Infections / Q000188:drug therapy; D007711:Klebsiella pneumoniae; D008297:Male; D008875:Middle Aged; D011467:Prostate; D011472:Prostatitis / Q000188:drug therapy*; D013203:Staphylococcal Infections / Q000188:drug therapy
D005839:Gentamicins; D002437:Cefazolin