What is the treatment for chronic prostatitis?

Chronic prostatitis is a disease that is harmful to men's health and can easily lead to male infertility. Therefore, active treatment is very important for men. There are many treatments for chronic prostatitis, but these treatments are not very effective, and the recurrence rate after treatment is relatively high. Therefore, many patients are not very satisfied. There are no good drugs now, so many patients will choose physical therapy. So, what is the physical treatment of chronic prostatitis? Let me introduce it below.

1. Prostate massage

Prostate massage is a standard method for treating chronic prostatitis. It has been used clinically for decades and is becoming more and more popular. Prostate massage can relieve local congestion, reduce secretion accumulation, remove bacteria and debris in the prostate gland duct, promote drug and inflammation absorption, and relieve perineal symptoms. It is suitable for patients with prostate congestion caused by reduced sexual activity. The massage force is gradually increased within the range that the patient can tolerate, generally 2-3 times a week, and last for more than 2 months.

Nickel et al. performed prostate massage on 22 patients with chronic prostatitis and found that the severity of symptoms in 10 patients (46%) was relieved by more than 60%, and the frequency of symptoms was reduced in 6 patients (27%). This suggests that the combined use of prostate massage and antibiotics to treat stubborn chronic prostatitis is beneficial.

2. Hot water bath

Daily hot water sitz bath or perineal hot compress is one of the conventional means for clinical doctors to treat patients with chronic prostatitis. It can promote blood circulation in the prostate and partially relieve clinical symptoms. However, since hot water sitz bath may have adverse effects on the testicles, it should be prohibited for unmarried and childless young men. In addition, this acquired testicular damage may lead to a decrease in testosterone secretion, so hot water sitz bath should also be used with caution for general chronic prostatitis patients.

3. Transurethral laser, radiofrequency, local hyperthermia therapy and transrectal prostate microwave thermotherapy, etc.

These treatment methods can promote local blood circulation in the prostate through thermal effect and heat conduction, increase the permeability of prostate acini and glandular ducts, enhance the phagocytic function of white blood cells and the activity of enzymes, accelerate the elimination of local metabolic products and toxins, and facilitate the absorption and regression of inflammation. In addition, urodynamic parameters can be improved, with the most obvious improvement in residual urine, which is maintained at a relatively stable and low level for a long time. It is also effective in treating frequent urination, urgency, and increased nocturia. The treatment time through the rectum or urethra should not exceed 60 minutes, and the temperature should be controlled at 45-60°C. It is effective for chronic non-bacterial prostatitis, and <45°C is effective for prostatitis. This thermal effect and heat conduction combined with other methods of local injection, such as posterior urethral drug infusion, retention enema, etc., can accelerate the distribution and absorption of drugs in the prostate, improve the pharmacokinetic characteristics of drugs, enhance their biological activity, and play a synergistic effect. For patients with bacterial prostatitis, laser, local heat therapy, microwave and radio frequency treatment have no obvious effect, and may even aggravate the condition, so they should be prohibited.

4. Biofeedback Technology

Pelvic floor tension myalgia may be the main cause of clinical symptoms in patients with chronic prostatitis. Reducing pelvic floor muscle spasms can improve these discomforts. Biofeedback is a natural therapy that uses functional training methods to improve and coordinate the functional status of local muscles and organs. The specific approach is: instruct patients to recognize and correct the contraction of pelvic floor muscles during urination, perform contraction/relaxation exercises to restore muscle activity to the normal dynamic range; encourage continuous muscle function exercises at home to relax pelvic floor muscles and relieve paroxysmal pain; gradually increase urination intervals through urination training, etc., thereby breaking the vicious cycle of spasms and pain, and significantly improving pain and abnormal urination in patients with chronic prostatitis. It is especially suitable for patients with abnormal urination, detrusor instability, and obvious local pain. During the treatment process, patients need to cooperate closely with instructors and persist in order to achieve satisfactory results.

The above content introduces the treatment of chronic prostatitis. I believe that everyone has a comprehensive understanding. There are many treatment methods. Everyone should choose a method that suits them so that the condition can get better faster. In addition, everyone should pay attention to diet and lifestyle during the treatment period. Do not eat spicy and irritating foods, and eat more nutritious foods that are easy to digest.