Prostatitis is one of the most common diseases in urology and male outpatient clinics, and the incidence of prostatitis among men of all ages can be 10-25%. The incidence of chronic prostatitis is high, the symptoms are complex, the course of the disease is prolonged, and the impact on the quality of life is obvious. The main clinical manifestations of prostatitis are.
1, systemic symptoms: such as general malaise, weakness, arthralgia and muscle pain, fever, chills;
2, pain symptoms: such as perineum, lower abdomen, penis scrotum hidden pain and discomfort, sometimes lumbosacral, inguinal area with a feeling of soreness and swelling;
3, urinary changes and urethral discharge: such as frequent urination, urinary urgency, painful urination, discomfort or burning, increased nocturia, “white drip” at the urethra;
4. Sexual function symptoms: impotence, premature ejaculation, painful ejaculation, hemorrhage, low libido (hyperactive), frequent erections, frequent seminal emission, etc;
5, male infertility;
6, psychoneurological symptoms: such as insomnia, anxiety, tension, depression, dizziness, dreaminess, fatigue, anorexia, depressed mood, etc.
Treatment of Prostatitis
Not all patients with prostatitis need to be treated, only those who significantly affect the quality of life need to be treated. The actual fact is that you should take a comprehensive approach to chronic prostatitis. Although there are numerous treatments or medications, none of them can achieve the goal of treating all patients or relieving all symptoms. The goal of treatment for chronic prostatitis is primarily to relieve pain and improve urinary symptoms and quality of life. Invasive treatments for prostatitis (such as prostate injections, closures, and urethral irrigation) have uncertain therapeutic effects, but may damage the prostate and urethra and cause fibrosis of prostate tissue and urethral strictures.
General Treatment
1, to patients patiently explain the pathogenesis and regression of the disease, in order to obtain cooperation, while relieving the mind concerns, enhance the confidence to overcome the disease. An optimistic state of mind can also make the autoimmune system in an active state and play a role in the recovery of the disease.
2, appropriate physical exercise, avoid strain, cold, cold;
3, drink more water, avoid alcohol, coffee, etc., do not eat spicy, stimulating food, eat more fresh vegetables, fruits, drink more water to promote urination, facilitate the flushing of the urethra;
4, less cycling, motorcycles, do not sit for a long time;
5, keep the bowels open.
6, prostate massage (for those with stagnant prostate fluid due to reduced sexual activity), once a week for three months or more. The inflammatory secretion produced by the inflammatory reaction in the prostate is not well discharged, and through massage, the secretion can be passively discharged to accelerate the inflammation.
7, regular sex life: clinical work found many young patients because of the serious burden of thought, concern, reluctant to have sex life. The author advocates that during the illness should be arranged according to their own situation, moderate regular sex life, so that in the process of ejaculation also discharged the inflammatory secretions in the prostate. This is a great way to get the most out of your life. The actual fact is that you can get a lot more than just a few of these.
8. Those who have psychological disorders should correct the psychological factors that cause the disease.
Medication
Several drugs (according to the experience of individual doctors) are used alternately 1-2 at a time, every half month for a course of treatment, and infusion therapy can be considered for severe symptoms. After 3 to 4 courses of conventional use. If the effect is not satisfactory, then choose the above drugs for 3 to 4 courses of treatment (in principle, the drugs are not repeated). EPS culture and drug sensitivity test can be performed for a single infection, and antibiotics will be selected according to the drug sensitivity test. Patients with predominantly voiding obstruction symptoms should be treated with a-blockers orally once a night. Those with mental depression may take oral antidepressants such as Dextran.
Physical therapy
Alternatively, a reasonable choice of antibiotics, together with physical therapy (such as hot water sitz bath, etc.), and a-blockers and other comprehensive treatment is an effective way to treat chronic prostatitis.