Hello - thanks for asking your question.
Chronic prostatitis is sometimes a difficult disease to treat. If you continue to have symptoms, then make sure that the bacteria that is being treated is sensitive to the antibiotic. Urine and prostatic fluid should be sampled and cultured before and after prostatic message.
Duration of treatment lasts from 4-12 weeks. It is possible that your course of antibiotics is too short. Unfortunately, chronic prostatitis often recurs and needs to be retreated.
There are other non-bacterial etiologies of chronic prostatitis including chlamydia, mycoplasma, and ureaplasma. Erythromycin and tetracycline are prescribed if this is suspected. Transurethral microwave thermotherapy may be considered for symptommatic relief.
If every test is negative, then urodynamic tests may reveal voiding and pelvic floor muscle dysfunction and spasm of the urethra, bladder neck, and urinary sphincter. These disorders should be discussed with your urologist if no bacterial cause is found.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.