What should men do if prostatitis causes frequent urination and painful urination?

Frequent urination and painful urination are mostly abnormal symptoms of the urinary system, but they also fall within the scope of many diseases. People should pay more attention to abnormal urination in their lives and go to the hospital for examination after discovering symptoms in time. There are many diseases that cause this symptom in men, and it is also a common disease in men's diseases. So let's take a look at what to do if men have frequent urination and painful urination caused by prostatitis. I hope everyone can understand it.

Type I

Antibiotic treatment of type Ⅰ prostatitis is necessary and urgent. Antibiotics should be used immediately after clinical diagnosis or blood and urine culture results are obtained. It is recommended to use antibiotics intravenously at the beginning, and after the patient's fever and other symptoms improve, it is recommended to use oral medications for at least 4 weeks.

Acute bacterial prostatitis with urinary retention can be treated with suprapubic bladder puncture and fistula drainage, or fine catheterization, but the catheter should not be left in place for more than 12 hours. For patients with abscess formation, transrectal ultrasound-guided fine needle puncture and drainage, transurethral incision of prostate abscess drainage, or perineal puncture and drainage can be used.

Type II and Type III

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, psychology and behavioral counseling have a positive effect. Patients should abstain from alcohol, spicy food, avoid holding urine, sitting for a long time, keep warm and strengthen physical exercise.

2. The most commonly used drugs for drug treatment 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.

Type II: Antibiotics are selected based on the results of bacterial culture 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 a phased efficacy evaluation. Intraprostatic injection of antibiotics is not recommended.

Type ⅢA: 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.

Type IIIB: Antibiotic treatment is not recommended.

(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/type III prostatitis.

Different α-receptor blockers can be selected according to the patient's condition. The recommended α-receptor blockers are: doxazosin, naftopidil, tamsulosin and terazosin. The results of controlled studies show that the above drugs have different degrees of improvement on patients' urination symptoms, pain and quality of life index.

There are many ways to deal with the problem of frequent and painful urination. Patients must first confirm the disease, so they must go to a local regular hospital for examination. The doctor will diagnose the disease based on the condition. If it is prostatitis, it should be treated according to the treatment of this disease. During the treatment process, observe abnormal symptoms of the body and continue medication treatment if there is improvement.