How to solve the problem of frequent urination at night for men

In fact, due to the onset of prostatitis, many people have different degrees of frequent urination, urgent urination, and incomplete urination. Moreover, patients not only urinate frequently during the day. The symptoms of frequent urination at night are even more painful. If these patients have a prostate fluid test, it is often found that it is caused by prostatitis. What should patients who urinate frequently at night do?

1. Antimicrobial therapy

The discovery of known urinary tract pathogens in prostatic fluid culture is the basis for selecting antimicrobial treatment. If rare pathogens or commensal bacteria are found in the urogenital tract, they cannot be determined to be the causative pathogen. If patients with non-bacterial prostatitis have signs of bacterial infection and general treatment is ineffective, antimicrobial treatment is also appropriate. When choosing antimicrobial drugs, it is necessary to pay attention to the presence of a prostate-blood barrier composed of lipid membranes between the prostatic acini and the microcirculation, which hinders the passage of water-soluble antibiotics and greatly reduces the effectiveness of treatment. Some bacteria secrete a glycoprotein matrix that prevents antibiotics from approaching bacteria. When prostatic stones are present, the stones can become a shelter for bacteria. The above factors make chronic bacterial prostatitis difficult to treat, requiring a long course of treatment and prone to relapse.

Whether nonbacterial prostatitis is suitable for treatment with antibiotics is still a clinical debate. There is evidence that patients who have used quinolones in the past have false negative results in urine culture of prostatic fluid or after prostate massage. Chlamydia trachomatis and mycoplasma can cause prostatitis, but ordinary cultures will not have positive results. In addition, for patients with prostate symptoms, about 40% of patients can achieve efficacy with a course of antibiotic treatment. Therefore, patients with "aseptic" prostatitis are also suitable for the use of drugs that are effective against bacteria and mycoplasmas, such as quinolones, SMZ-TMP or TMP alone, used in combination with tetracycline and quinolones or used intermittently. If antibiotic treatment is ineffective and it is confirmed to be aseptic prostatitis, antibiotic treatment should be discontinued.

Warm reminder: Don't be depressed because of prostatitis. You should seriously understand the prognosis of prostatitis. If patients with acute prostatitis undergo active treatment, the prognosis is often better. In fact, most patients with prostatitis can recover completely after the acute stage. If not treated, a small number of patients will develop chronic disease.