How to treat chronic prostatitis?

Chronic prostatitis is a common inflammation in men. Many men are embarrassed to talk about this disease, which has become their own secret. In fact, men may suffer from chronic prostatitis after puberty. The clinical manifestations include frequent urination, urgency, and pain. Many people mistakenly think that it is due to kidney deficiency. So, how to treat chronic prostatitis in men? The following is a detailed introduction.

1. General treatment

Patients should conduct psychological counseling on their own, maintain a cheerful and optimistic attitude towards life, abstain from alcohol, and avoid spicy and irritating foods; avoid holding urine, sitting for long periods of time, and riding a bicycle or horse for long periods of time, pay attention to keeping 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.

(2) α-receptor blockers α-receptor blockers can relax the smooth muscles of the prostate and bladder and improve lower urinary tract symptoms and pain, thus becoming a basic drug for the treatment of type II/III prostatitis. Different α-receptor blockers can be selected according to the patient's condition.

(3) Plant preparations Plant preparations are increasingly valued for their therapeutic effects on type II and type III prostatitis and are recommended as therapeutic drugs. Plant preparations mainly refer to pollen preparations and plant extracts, which have a wide range of pharmacological effects, such as non-specific anti-inflammatory, anti-edema, and promoting bladder detrusor contraction and urethral smooth muscle relaxation. Recommended plant preparations include: Pusitai, Sabah palm and its extracts. Due to the large number of varieties, the usage and dosage must be determined according to the patient's specific condition, and the course of treatment is usually in months. Adverse reactions are relatively small.

(4) Nonsteroidal anti-inflammatory analgesics Nonsteroidal anti-inflammatory analgesics are empirical medications for the treatment of symptoms associated with type III prostatitis. Their main purpose is to relieve pain and discomfort.

(5) M-receptor blockers: For patients with prostatitis who have symptoms such as urgency, frequency and nocturia but no urinary tract obstruction, M-receptor blockers (such as tolterodine) can be used for treatment.

When male friends have the above mentioned symptoms, they must pay attention to it. How to treat chronic prostatitis in men is related to their own health. If it is not taken seriously, it may affect their normal life and sexual happiness. Now with the development of medical technology, there are many ways to completely cure chronic prostatitis. As long as you actively cooperate with the doctor for treatment, it will be cured.