How should prostate be treated?

Generally speaking, patients with prostatitis do not have obvious symptoms in the early stages. As the disease progresses, they will find that their sexual desire is not as strong as before, and they may even feel some pain in the prostate when urinating. Sometimes, they may even discharge blood in the semen. Today, let us learn how to treat the prostate.

1. Acute bacterial prostatitis

(1) General treatment: bed rest, drink plenty of water or receive intravenous fluids, and strengthen systemic supportive therapy.

(2) Antibiotics: Actively use effective antibiotics. Commonly used quinolones such as ciprofloxacin, ofloxacin, levofloxacin (levofloxacin) 0.2g, intravenous drip, 2-3 times/day; aminoglycosides such as amikacin, netilmicin 0.4g, intravenous drip, once/day. After the acute inflammatory symptoms are controlled, oral administration can be used, and the course of treatment should be maintained for 1 month.

(3) Other treatments: Antipyretic and analgesic drugs can be used, such as Suomiton (pain-relieving tablets), acetaminophen (Sanlitong), acetaminophen (Baifuning), etc. Those with dysuria can use α-receptor blocking drugs, such as Natol 25 mg, terazosin 2 mg or tamsulosin (Halor) 0.2 mg, orally, once a day. For those with acute urinary retention, it is not advisable to place a urinary catheter, but suprapubic bladder puncture and fistula should be performed. When complicated with prostate abscess, incision and drainage should be performed.

2. For chronic prostatitis, comprehensive treatment measures should be taken.

(1) Lifestyle adjustment: avoid riding or sitting for long periods of time, have regular sex, and avoid drinking alcohol and eating spicy food.

(2) Hot water sitz bath and physical therapy: can reduce local inflammation and promote absorption.

(3) Prostate massage: once a week to drain inflammatory secretions.

(4) Herbal preparations: such as Shenitong, Qianliexin Capsules, Zegui Longshuang Capsules, etc.

(5) Application of anticonvulsant and analgesic drugs: ibuprofen 60 mg, orally, 4 times a day; indomethacin (indomethacin) suppository 0.1 g, intrarectally, once a day. For patients with obvious urinary irritation symptoms, tolterodine 2 mg, orally, 2 times a day or flavoxate (urinary anesthetic) 0.2 g, orally, 3 times a day can be used.

(6) Application of α-receptor blockers: They can relieve patients’ dysuria symptoms.

(7) Application of antibiotics:

① Chronic bacterial prostatitis: Choose antibacterial drugs that are fat-soluble, weakly alkaline, and have a low plasma protein binding rate, such as trimethoprim (TMP) 160 mg, once a day; sulfamethoxazole (SMZ) 800 mg, once a day; the course of treatment is 4 to 12 weeks. Fluoroquinolone drugs, such as ofloxacin or levofloxacin

The above article explains in detail how the prostate should be treated. To treat the prostate, a comprehensive treatment method should be adopted. During the treatment, you should also pay attention to your daily life. You cannot sit for a long time or even ride a bicycle. You can also use physical therapy to relieve pain.