Multimodal Therapy for Multidrug-Resistant Prostatitis
Author Information
Author(s): Muacevic Alexander, Adler John R, Renaud Elise, Nagassar Rajeev P, Persaud Satyendra
Primary Institution: Sangre Grande Hospital, Sangre Grande, TTO; University of the West Indies, Saint Augustine, TTO
Hypothesis
Can intraprostatic injections combined with intravenous antibiotics effectively treat chronic bacterial prostatitis resistant to standard antibiotic therapy?
Conclusion
Intraprostatic injections combined with intravenous antibiotics successfully cleared the patient's multidrug-resistant recurrent prostatitis.
Supporting Evidence
- Chronic bacterial prostatitis is difficult to treat and often recurs after antibiotic therapy.
- The patient had multiple prior antibiotic treatments before the new approach was tried.
- Intraprostatic injections were guided by ultrasound to ensure accurate delivery of the medication.
- The treatment led to sterile urine and semen cultures eight weeks later.
- The patient remained asymptomatic for two years following treatment.
Takeaway
A man with a tough prostate infection got better after doctors injected medicine directly into his prostate and gave him antibiotics through an IV.
Methodology
The patient received intraprostatic injections of a mixture of lidocaine, amikacin, and meropenem, along with intravenous meropenem for four weeks.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
33-year-old male with a history of renal tract issues and recurrent urinary tract infections.
Digital Object Identifier (DOI)
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