What is the best treatment for prostatitis?

At present, there are still many different treatment methods for prostatitis. Basically, the treatment method should be formulated according to the cause of prostatitis. Prostatitis is mainly divided into acute and chronic. If it is chronic prostatitis, antibiotics should be used as the main treatment drug. Today, let us learn about which treatment method for prostatitis is better?

Treatment principles

Chronic bacterial prostatitis: Treatment is mainly oral antibiotics, and sensitive drugs are selected. The course of treatment is 4 to 6 weeks, during which the patient should be evaluated for efficacy in stages. 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 related symptoms.

Chronic nonbacterial prostatitis: Oral antibiotics can be taken for 2 to 4 weeks, and then the decision on whether to continue antibiotic treatment is made based on the feedback from the treatment effect. It is recommended to use α-receptor blockers to improve urination symptoms and pain. Herbal preparations, non-steroidal anti-inflammatory analgesics and M-receptor blockers can also be used to improve urination symptoms and pain.

Treatment

The treatment goals of chronic prostatitis are mainly to relieve pain, improve urination symptoms and improve quality of life. The evaluation of treatment efficacy should be based mainly on symptom improvement.

1. General treatment Health education, psychological and behavioral counseling have a positive effect. Patients should abstain from alcohol, spicy food, hold urine, sit for long periods of time, keep warm, and strengthen physical exercise.

2. Drug treatment The most commonly used drugs are antibiotics, α-receptor blockers, herbal preparations and non-steroidal anti-inflammatory analgesics. Other drugs also have varying degrees of effectiveness in relieving symptoms.

(1) Antibiotics: Currently, in the clinical practice of treating prostatitis, the most commonly used first-line drug is antibiotics, but only about 5% of patients with chronic prostatitis have clear bacterial infection.

Chronic bacterial prostatitis: antibiotics are selected based on bacterial culture results and the ability of the drug to penetrate the prostate. After prostatitis is confirmed, the course of antibiotic treatment is 4 to 6 weeks, during which the patient should undergo periodic efficacy evaluation. Intraprostatic injection of antibiotics is not recommended.

Chronic nonbacterial prostatitis: Antibiotic treatment is mostly empirical treatment, and the theoretical basis is to speculate that certain pathogens that are negative in routine culture cause the occurrence of this type of inflammation. Therefore, it is recommended to take oral antibiotics such as fluoroquinolone for 2 to 4 weeks, and then decide whether to continue antibiotic treatment based on the feedback of the efficacy. Only when the clinical symptoms are indeed alleviated, it is recommended to continue the use of antibiotics. The recommended total course of treatment is 4 to 6 weeks.

This article will explain in detail which treatment method for prostatitis is better. Of course, the most common treatment method is antibiotic treatment, which is based on the doctor's experience. However, there are also psychological treatment methods because prostatitis will also affect the patient's mental health.