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The management of chronic prostatitis in men with HIV

  • Published:
Current Prostate Reports

Abstract

Prostatitis is a common urologic diagnosis. Although treatment algorithms are available for this poorly understood entity, several adaptations must be made in order to accommodate the therapeutic needs of HIV-positive patients. The most important consideration when treating HIV-infected patients for prostatitis is their current immune status, whether they are immunocompromised or not (non-progressive disease or reconstituted with highly active antiretroviral therapy). A treatment algorithm for those with chronic bacterial prostatitis (Category II), chronic nonbacterial prostatitis (Category IIIA), and prostatodynia (Category IIIB) is presented in this article. In the HIV-positive patient population, there is a greater likelihood for atypical pathogens including fungi, tuberculosis, anaerobes, and viruses. Because the HIV-infected patient is at increased risk for the development of prostatic abscess and urosepsis than the general population, increased monitoring and evaluation and longer-term appropriately directed antimicrobial therapy are required.

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Authors and Affiliations

  1. Columbia University, College of Physicians and Surgeons, Department of Urology, St. Luke’s-Roosevelt Hospital, 425 W 59th Street, #3A, 10019, New York, NY, USA

    Franklin C. Lowe MD, MPH

Authors
  1. Vincent M. Santillo BS, MBA
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  2. Franklin C. Lowe MD, MPH
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Correspondence to Franklin C. Lowe MD, MPH.

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Santillo, V.M., Lowe, F.C. The management of chronic prostatitis in men with HIV. Curr prostate rep 4, 93–99 (2006). https://doi.org/10.1007/s11918-006-0006-z

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  • DOI: https://doi.org/10.1007/s11918-006-0006-z

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