Treatment of prostatitis caused by non-gonococcal disease

Non-gonococcal urethritis can also cause many complications, which many people do not take seriously, because everyone thinks that urethritis can be cured by good treatment. Some people even think that such a disease can be cured on its own, so they do not treat it in time, causing the sequelae to worsen step by step. For men, if non-gonococcal urethritis is not treated, it will cause prostatitis. So what should be done about prostatitis caused by non-gonococcal urethritis?

Antibiotic treatment:

This is a common method for treating prostatitis. Antibiotic drugs diffuse from plasma into prostatic fluid, and most of them are effective against Gram-positive bacilli that cause urinary tract infections. However, since they cannot penetrate the lipid membrane of the prostatic epithelium and enter the prostatic alveoli to achieve therapeutic effects, the therapeutic effect is not very ideal. Therefore, the following principles should be followed when selecting antibiotic drugs for the treatment of prostatitis:

(1) Drugs are highly sensitive to bacteria.

(2) The drugs to be used should be determined based on the criteria of high lipid solubility, high permeability, low plasma protein binding rate, and high dissociation degree.

(3) The combined use of two or more drugs with synergistic effects.

(4) In order to achieve an effective concentration of the drug in the prostate stroma and prevent the occurrence of urinary tract infection, a super-large dose and a super-time limit (4 to 12 weeks) of medication should be advocated.

Recently, some scholars have classified antibiotics according to the different levels of antibacterial drugs that can diffuse into the prostate. The low-medium and high-level ones include trimethoprim-sulfamethoxazole, clindamycin, erythromycin, etc.; the medium-level ones include chloramphenicol and lincomycin; the low-level ones include ampicillin, Pioneer I, Pioneer IV, doxycycline, kanamycin, nitrofurantoin, oxytetracycline, penicillin G, polymyxin B, rifampicin and most sulfonamides, etc. Patients can choose the type of medicine, usage, dosage, etc. under the guidance of doctors.

◇Chinese medicine treatment:

Prostatitis, especially chronic prostatitis, is a chronic disease, so traditional Chinese medicine plays a very important role in its treatment, and the prospects are optimistic. Traditional Chinese medicine generally divides chronic prostatitis into five types for syndrome differentiation and treatment. Here we will introduce them separately.

Damp-heat descending type: Symptoms include dribbling, red and painful urine, lower abdominal cramps, perineal swelling and pain, urinary tract turbidity, yellow and greasy tongue coating, and slippery and rapid pulse. Treatment should be heat-clearing and damp-removing. The prescription is Bazheng San with modifications: Akebia 7g, Plantago asiatica 10g, Polygonum multiflorum 10g, Dianthus superbus 10g, Talcum 20g, Fructus 10g, Rhubarb 6g, and Licorice 5g. Spleen deficiency and dampness excess type: symptoms include turbid urine, sallow complexion, drowsiness, loss of appetite, pale tongue with white fur, and weak pulse. Treatment should be to invigorate the spleen and benefit the dampness. The prescription is Shenling Baizhu San with modifications: 10g of Dangshen, 15g of stir-fried Atractylodes macrocephala, 24g of Poria, 30g of Coix, 7g of Amomum villosum, 15g of Zexie, 10g of Angelica sinensis, 30g of Kuncao, and 10g of Chenpi.

The treatment of male prostatitis depends on the male's endurance, because this disease is difficult to treat, and it is not so easy to cure it. Prostatitis is mainly treated with antibiotics, and antibiotics are anti-inflammatory. Because prostatitis is an inflammatory infection, anti-inflammatory treatment is very necessary. This non-gonococcal urethritis also requires anti-inflammatory treatment during treatment, but antibiotics must be used reasonably.