What factors affect the time of prostatitis therapy?
Every case differs. The main factors that can affect the time of the therapy are the following:
- Chronicity: How long the patient has had the microbe(s) (even before they noticed the first symptoms).
- Prostate damage: How damaged is the prostate tissue (i.e. nerve & vessel stangulation, obstructed prostatic glandular ducts along with calcifications etc.)
- Prostate size: How big has the prostate become due to the hypertrophy complication before starting the therapy.
- Complications: Peri-urethral fibrosis which leads to extrinsic compression of the urethra, erectile tissue damage and fertility issues.
- Microbe resistances: The longer the patient has had a microbe and has taken antibiotics orally for a long time due to previous unsuccessful treatments, the more resistant the microbe.
- Types of microbes: Some microbes such as Staphylococcus (especially Aureus and Lugdunensis) have proven to rapidly gain resistance against antibiotics. That being said, all microbes such as Enterococcus, Chlamydia, Klebsiella etc. are still capable of building resistance to the most powerful antibiotics. These are what I mostly tend to face with patients who have tried multitude of antibiotic courses from around the world, that had no effect but has converted their microbes into almost “superbugs”.
- Lifestyle: The most important factor is a disciplined diet. Such a diet requires strict abstinence from sugary products, alcohol and spicy foods. Failure to comply with this can lead to significantly longer treatment times.
All of the above factors play a critical role in the necessary amount of time to reach what I refer to as “full cure” without relapse.