Prostate Biopsy and Bacterial Infection
Prostate biopsy is once of the medical procedure causes of prostatitis. A small percentage of men get acute bacterial prostatitis after having a prostate biopsy. A physician usually recommends a prostate biopsy if he or she thinks a patient might have prostate cancer.
The prostate biopsy procedure is done through the rectum. Because the needles they use to collect a specimen pass through the rectum, the needles can help transport bacteria from the bowel into the prostate, bladder, or even blood stream. According to studies, the most common culprit for prostatitis after a prostate biopsy is Escherichia coli. This usually causes acute bacterial prostatitis. Risk of infection goes up significantly if a cleansing enema is not used prior to the procedure. Another cause of prostatitis that comes from a medical procedure is device insertion/catheter. When a man has a catheter or a cystoscope inserted into his urethra, his risk for acute bacterial prostatitis goes up.
Even though doctors usually prescribe antibiotics before the prostate biopsy procedure, some men are resistant to the antibiotics, especially if they have used those same drugs before having the procedure. Because flouroquinolones such as Cipro (ciprofloxacin) are commonly prescribed for prostate biopsy, most of the cases of prostatitis from prostate biopsy involve flouroquinolone-resistant E. coli. In these cases, it is best to use a different antibiotic, such as a cephalosporin or aminoglycoside, to treat the bacterial prostatitis. If you have an upcoming prostate biopsy, be sure to let your doctor know which antibiotics you have taken so he or she can help prevent infections by prescribing one that you may not have developed a resistance to.
While antibiotics are a common bacterial prostatitis treatment, you might consider also reviewing Dr. Geo’s prostatitis treatment program, the UPOINT System for Treatment, or natural prostatitis treatments such as phytotherapy and supplements. You may also find relief from prostatitis symptoms through using alternative prostatitis treatments such as heat therapy, sitz bath, probiotics (especially if you have taken several rounds of antibiotics), and others.