How to treat bacterial prostatitis?

Bacterial prostatitis is a common male disease in daily life, usually referred to as prostatitis, which is divided into acute and chronic types. Once male friends suffer from this disease, it has a great impact on their physical and mental health. So how to treat bacterial prostatitis?

1. Acute bacterial prostatitis

(1) Treatment principles Acute bacterial prostatitis: mainly broad-spectrum antibiotics, symptomatic and supportive treatment. For patients with urinary retention, catheterization or suprapubic cystocentesis is used to drain urine, and for patients with prostatic abscess, surgical drainage is used.

(2) Treatment methods ① General treatment: Rest in bed for 3 to 4 days, drink adequate water, and avoid alcohol and spicy food. You can take a hot water sitz bath or apply hot compresses to the perineum to keep the bowels open. Avoid sexual intercourse. ② Symptomatic treatment: Those with high fever should be given antipyretics. ③ Antibiotic treatment of acute prostatitis is necessary and urgent. Antibiotics should be used immediately after clinical diagnosis or blood and urine culture results. Antibiotics are initially applied intravenously. After the patient's fever symptoms improve, oral medications are used for at least 4 weeks. Those with milder symptoms should also use antibiotics for 2 to 4 weeks. ④ For patients with acute bacterial prostatitis and urinary retention, suprapubic bladder puncture and fistula drainage is used. Catheterization can also be used. The indwelling time of the urinary catheter should not exceed 12 hours. ⑤ For patients with prostate abscess formation, transrectal ultrasound-guided fine needle puncture and drainage, transurethral incision of prostate abscess drainage, or perineal puncture and drainage are used.

2. Chronic bacterial prostatitis

(1) Treatment principles Chronic bacterial prostatitis: Oral antibiotics are the main treatment, and sensitive drugs are selected. The course of treatment is 4 to 6 weeks, during which periodic efficacy evaluation should be carried out. If the efficacy is unsatisfactory, other sensitive antibiotics can be used instead. α-receptor blockers can be used to improve urination symptoms and pain. Herbal preparations, non-steroidal anti-inflammatory analgesics and M-receptor blockers can also improve corresponding symptoms.

(2) Treatment methods: The main purpose of treatment is to relieve symptoms and improve quality of life. The evaluation of treatment efficacy should focus on symptom improvement.

1) General treatment: quit drinking, avoid spicy food; avoid holding urine, sitting for long periods of time, keep warm, and strengthen physical exercise.

2) Drug treatment: Commonly used drugs include antibiotics, α-receptor blockers, herbal preparations and non-steroidal anti-inflammatory analgesics. Other drugs are also effective in relieving symptoms.

3) Other treatments ① Prostate massage is one of the traditional treatment methods. Appropriate prostate massage can promote the emptying of prostate gland ducts, increase local drug concentration, and relieve the symptoms of chronic prostatitis. Combining with other treatments can effectively shorten the course of the disease. ② Biological feedback therapy ③ Heat therapy.