Antibiotics really ARE off the menu, folks

[webslave]

Note: it may seem strange that urologists are still flogging this dead horse, re-stating what we have known for some time already, but remember that the medical profession is very slow moving and conservative, so they need to see findings like this stated and re-stated many times over a long period before they'll give them credence.

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Int J Antimicrob Agents. 2007 Oct 20; [Epub ahead of print]

Treatment of chronic prostatitis/chronic pelvic pain syndrome.

Nickel JC.
Department of Urology, Queen's University, Kingston General Hospital, Kingston, Ontario, Canada K7L 2V7.

Acceptance of the National Institutes of Health definition of Category III Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) and the development and validation of the Chronic Prostatitis Symptom Index has stimulated significant research into treatment of this condition. Evidence-based suggestions for treatment include the following. (i) Antimicrobials cannot be recommended for men with longstanding, previously treated CP/CPPS. (ii) Alpha-blockers can be recommended as first-line medical therapy, particularly in alpha-blocker-naïve men with moderately severe symptoms who have relatively recent onset of symptoms. (iii) Alpha-blockers cannot be recommended in men with longstanding CP/CPPS who have tried and failed alpha-blockers in the past. And (iv) anti-inflammatory therapy, finasteride and pentosan polysulfate are not recommended as primary treatment; however, they may have a useful adjunctive role in a multimodal therapeutic regimen. Early data on herbal therapies, particularly quercetin and cernilton, are intriguing, but larger multicentre, randomised, placebo-controlled trials are required before a high level of evidence recommendation can be made on its use. At this time, surgery (including minimally invasive) is recommended only for definitive indications and not generally for CP/CPPS.

PMID: 17954024 [PubMed - as supplied by publisher]