Prostatitis N41.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Inflammation of the prostate gland, frequently occurring in gonorrhoea corresponding to prostatitis gonorrhoica, also occurring in non-gonorrhoeic urethritis. S.a.u. non-specific urethritis.

Therapy
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  • Cooperation with urologists. Treatment of the underlying disease e.g. gonorrhoea. In case of a real microbial inflammation treat with Cotrimoxazol (e.g. Eusaprim 2 times/day 2 Tbl.) until the antibiogram arrives. In case of chronic inflammation, specific long-term antibiotic treatment. Spasmoanalgesics, e.g. Metamizol (Novalgin), stool regulation with mild laxatives and balneotherapy have a supportive effect. Bed rest.
  • For mycoplasma, chlamydia: doxycycline (e.g. Doxy-Wolff) 2 times/day 100 mg i.v. for 10-14 days. Alternatively: Erythromycin (e.g. Erythrocin) 3-4 times/day 250-500 mg p.o. or i.v. or Ofloxacin (e.g. Tavanic) 2 times/day 200-400 mg p.o. or i.v.
  • Neisseria gonorrhoeae: S.u. gonorrhoeae. S.a.u. Prostatitis gonorrhoeae.
  • Candida: Amphotericin B and Nystatin 0.5% instillation.
  • Trichomonas: Metronidazole (e.g. Clont) 2-3 times/day 400 mg p.o. or 2-3 times/day 500 i.v.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020