Can bacterial prostatitis be completely cured?

Prostatitis is a common disease in men. General prostatitis can be cured through drug treatment. However, some patients, because of the lack of timely treatment after the disease, the condition worsens, which will increase the difficulty of treatment. Bacterial prostatitis is not a difficult disease to cure. In fact, if you want to completely cure it, in addition to cooperating with the doctor's treatment, the patient must also pay attention to family care.

1. Acute bacterial prostatitis

(1) Treatment principles Acute bacterial prostatitis: mainly broad-spectrum antibiotics, symptomatic and supportive treatment. For patients with urinary retention, catheterization or suprapubic cystocentesis is used to drain urine, and for patients with prostatic abscess, surgical drainage is used.

(2) Treatment methods ① General treatment: Rest in bed for 3 to 4 days, drink adequate water, and avoid alcohol and spicy food. You can take a hot water sitz bath or apply hot compresses to the perineum to keep the bowels open. Avoid sexual intercourse. ② Symptomatic treatment: For patients with high fever, antipyretics should be given, such as indomethacin suppositories, aspirin, etc. ③ Antibiotic treatment of acute prostatitis is necessary and urgent. Antibiotics should be used immediately after clinical diagnosis or blood and urine culture results are available. Initially, antibiotics are applied intravenously, such as: broad-spectrum penicillin, third-generation cephalosporin, aminoglycosides or fluoroquinolones, etc. After the patient's fever symptoms improve, oral medications (such as fluoroquinolones) are used for at least 4 weeks. Patients with milder symptoms should also use antibiotics for 2 to 4 weeks. ④ For patients with acute bacterial prostatitis and urinary retention, suprapubic bladder puncture and fistula drainage is used. Catheterization can also be used. The indwelling time of the urinary catheter should not exceed 12 hours. ⑤ For patients with prostate abscess formation, transrectal ultrasound-guided fine needle puncture and drainage, transurethral incision of prostate abscess drainage, or perineal puncture and drainage are used.

2. 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 methods: The main purpose of treatment is to relieve symptoms and improve quality of life. The evaluation of treatment efficacy should focus on symptom improvement.