How to cure prostate

Almost 50% of men will suffer from prostatitis, especially older men, the probability of suffering from prostatitis will greatly increase. After men have prostatitis, they will feel pain when urinating and their urine will bifurcate. Generally, some antibiotics are needed during treatment. The main function of antibiotics is to reduce inflammation. So how can prostatitis be cured?

How to treat prostatitis? Here are three main methods:

1. Antibiotic treatment

This is a common method for treating prostatitis. Antibiotic drugs diffuse from plasma into the prostatic fluid. 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) The drug is highly sensitive to bacteria.

(2) The drugs to be used should be determined based on their 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, ultra-large doses and ultra-long-term (4 to 12 weeks) medication should be encouraged.

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

2. 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 is a separate introduction. (1) Damp-heat type: symptoms include dribbling, red and painful urination, abdominal cramps, perineal swelling and pain, turbid white urine at the urethra, 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: 7 grams of Akebia, 10 grams of Plantago, 10 grams of Polygonum multiflorum, 10 grams of Dianthus superbus, 20 grams of Talcum, 10 grams of Garcinia lanceolata, 6 grams of Rhubarb, and 5 grams of Licorice. 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 Radix Codonopsis, 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. (2) Qi stagnation and blood stasis type: symptoms include turbid urine, swelling of the perineum and lower abdomen, enlarged and hard prostate, dark purple tongue, and stringy and astringent pulse. The treatment is to activate blood circulation and remove blood stasis, and to promote qi circulation and unblock the meridians. The prescription is Shaofu Zhuyu Decoction: 10g peach kernel, 10g safflower, 15g angelica root, 6g fennel, 10g Chuanlianzi, 10g Wuyao, 12g red peony root, 15g Zelan, 30g dandelion. (3) Liver and kidney yin deficiency type: symptoms include turbid white discharge at the urethral opening, swollen perineum, sore waist and knees, hot flashes and sweating, red tongue with little coating, and weak and rapid pulse. The treatment is to nourish the liver and kidney and clear away the fire of the liver. The prescription is Zhibai Dihuang Tang with modifications: 15g of Zhimu, 10g of Huangbai, 30g of Dihuang, 15g of Zexie, 15g of Moutan Bark, 30g of Fuling, 15g of processed Shouwu, 15g of Huangjing, 10g of Baiteng, and 15g of Danshen. (4) Kidney Yang deficiency type: symptoms include urinary incontinence, chills, soreness and coldness of waist and knees, impotence, premature ejaculation, pale and fat tongue, and deep and weak pulse. Treatment should be warming the kidney and strengthening yang. The prescription is Jingui Shenqi Pills with modifications: 10g of processed Fupin, 10g of Cuscuta, 10g of Xianlingpi, 10g of Eucommia, 10g of Huangjing, 15g of Angelica, 15g of Chinese Yam, and 24g of Fuling.

3. Injection therapy

Since systemic antibiotics are difficult to reach effective concentrations in the prostate and thus affect the efficacy, a treatment method of injecting antibiotics directly into the prostate has emerged. The specific method is to use gentamicin, kanamycin, and proteomycin, either alone or in combination, directly into the prostate through the perineum, or directly inject the drug solution into the prostate lesion under the guidance of B-ultrasound, 1 to 2 times a week, and 10 times as a course of treatment.

The main advantage of this treatment method is that the drug is directly injected into the prostate, which can easily diffuse and reach an effective antibacterial concentration. It can not only kill bacteria at the injection site, but also eliminate bacteria in the surrounding tissues. The drug is partially absorbed into the blood and can also help eliminate infections in the urethra and other parts. It is a valuable treatment for refractory and stubborn chronic prostatitis. However, it also has some disadvantages that are not easy to overcome, mainly:

(1) The prostate gland is located deep, and direct injection is not easy. Puncture may cause damage to surrounding tissues and induce hematuria.

(2) Puncture can cause pain and discomfort. If it is performed repeatedly, it will be difficult for patients to accept.

(3) Percutaneous or transrectal puncture may introduce bacteria and cause repeated prostate infections.

(4) Repeated punctures can cause prostate fibrous tissue hyperplasia and prostate sclerosis. During rectal examination, a lump or a hard prostate can be felt. Fibrous tissue hyperplasia can cause the lesion to be separated and surrounded, making it more difficult for antibiotics to penetrate and making it difficult for prostate fluid to be discharged.

Therefore, you must be cautious when choosing this treatment method. This method should only be considered when other methods are ineffective. The puncture should not be too frequent, 1 to 2 times a week, and the course of treatment should not be too long, and should be controlled within 1 to 2 months.