What are the treatments for chronic bacterial prostatitis?

Nowadays, many men suffer from a disease, that is, prostatitis pain. This disease is very painful. It will cause many symptoms such as frequent urination and urgency. This disease sometimes greatly affects people's lives, making patients with this disease unable to go to work, and making the whole family worry about what to do. Prostatitis pain is very easy to treat. First of all, we must have an in-depth understanding of chronic bacterial prostatitis.

1. Treatment principles

Chronic bacterial prostatitis: Oral antibiotics are the main treatment, and sensitive drugs are selected. The course of treatment is 4 to 6 weeks, during which periodic efficacy evaluation should be carried out. If the efficacy is unsatisfactory, other sensitive antibiotics can be used instead. α-receptor blockers can be used to improve urination symptoms and pain. Herbal preparations, non-steroidal anti-inflammatory analgesics and M-receptor blockers can also improve corresponding symptoms.

2. Treatment

The purpose of treatment is mainly to relieve symptoms and improve quality of life, and the evaluation of treatment efficacy should be based mainly on symptom improvement.

(1) General treatment: quit drinking alcohol and avoid spicy food; avoid holding urine and sitting for long periods of time, keep warm, and increase physical exercise.

(2) Drugs commonly used in drug treatment include antibiotics, α-receptor blockers, herbal preparations and non-steroidal anti-inflammatory analgesics. Other drugs are also effective in relieving symptoms.

① Antibiotics: Available antibiotics include fluoroquinolones (such as ciprofloxacin, levofloxacin, lomefloxacin and moxifloxacin, etc.), tetracyclines (such as minocycline, etc.) and sulfonamides (such as co-trimoxazole).

- Receptor blockers mainly include doxazosin, naftopidil, tamsulosin and terazosin, etc. These drugs have different degrees of improvement on patients' urination symptoms, pain and quality of life. During treatment, attention should be paid to adverse reactions such as dizziness and postural hypotension caused by these drugs. The course of treatment of α-receptor blockers should be more than 12 weeks.

③ 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, promoting bladder detrusor contraction and urethral smooth muscle relaxation. Plant preparations include: Pusita, Sabah palm and its extracts. Usually the course of treatment is in months. Adverse reactions are relatively small.

④M-receptor blockers: For patients with prostatitis who have symptoms of overactive bladder (OAB), such as urgency, frequency and nocturia, but no urinary tract obstruction, M-receptor blockers (such as tolterodine, etc.) can be used for treatment. ⑤Antidepressants and anti-anxiety drugs: For patients with chronic prostatitis who have depression and anxiety, antidepressants and anti-anxiety drugs can be used for treatment while treating prostatitis. These drugs can not only improve the patient's psychological symptoms, but also relieve physical symptoms such as abnormal urination and pain. The antidepressants and anti-anxiety drugs that can be selected mainly include selective 5-hydroxytryptamine reuptake inhibitors, tricyclic antidepressants and benzodiazepines.

The above describes the treatment methods for chronic bacterial prostatitis. I hope that men suffering from this disease will not worry too much about the disease being cured quickly. I also hope that the above description will be of great help to my friends so that your body can recover to the state you were in before and you can work happily. Don’t let these troubles bother us all the time. I hope that friends suffering from this disease will recover quickly and get better quickly. Medicine is so good now. We must believe in the current medical conditions and trust the doctors first.