What are the treatment options for chronic prostatitis?

  Patients with chronic prostatitis usually experience symptoms such as frequent urination, increased nocturia, local unexplained pain, mental abnormalities, anxiety, and even a decline in sexual function. There are a variety of treatments for prostatitis patients, we mainly introduce the following, for reference only: a. General treatment: General treatment is mainly through psychological guidance to patients, to persuade patients to face the disease difficulties with a positive and optimistic attitude; also pay attention to the patient’s daily physical exercise, avoid sedentary, excessive drinking, holding urine, but also pay attention to the cold to keep warm, do the right amount of exercise to enhance physical fitness and immunity. The regular sexual life helps the prostate inflammation to subside.  The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.    At present, tetracyclines are commonly used: such as memantin, doxycycline, etc. The quinolones: the third generation such as ofloxacin, norfloxacin and levofloxacin, etc. Sulfonamides: such as cotrimoxazole. Macrolides: such as erythromycin, azithromycin, etc. Aminoglycosides, β-lactams are also used. In addition to the selection of drugs based on drug sensitivity tests, individualized treatment should be implemented after detailed analysis of previous treatment history to prevent the abuse of anti-microbial drugs.  The main route of administration of anti-microbial drugs is oral administration. Intravenous administration can also be used for a short period of time. Local administration is commonly done with intra-anal suppositories, combined with periprostatic or intraprostatic injections via special multi-lumen balloon urethral canals in the pubic/pubic area.  A course of anti-microbial administration is generally advocated for about 4 weeks. A follow-up visit can be performed 2 weeks after the administration of the drug. Observe for any adverse effects or if the course of treatment should be extended appropriately. One of the urinary symptoms of chronic prostatitis, the feeling of impurity at the end of urine, and the clinical application of alpha-blockers after the patient’s symptoms improve, so in recent years the application of alpha-blockers in the treatment of chronic prostatitis has become another important choice in addition to anti-microbials.  The most commonly used drugs are prazosin, benzylamine, terazosin, aphthazosin, tamborosin and doxazosin. There is no significant difference in the efficacy of these alpha blockers in reducing urinary resistance, but there are individual differences
The incidence of adverse reactions, such as transient postural hypotension, dizziness, nasal congestion and other vasodilatory effects, is lower with highly selective alpha-blockers and controlled release dosage forms.  3, M-blockers: These drugs are mainly used for the treatment of patients with urinary frequency and urgency, nocturia, but no urinary tract obstruction symptoms.  4.Botanical preparations: Pulsatilla, sabal palm and its infusion, etc. There are various varieties, which should be chosen according to the specific condition of the patient to avoid adverse reactions.  5, non-steroidal anti-inflammatory analgesics: can relieve the patient’s pain and other discomfort.  6, antidepressants and anti-anxiety drugs: non-cellular chronic inflammatory triggers including mental disorders caused by patients can be used according to medical advice, treatment, these drugs have the effect of stimulating nerves, so be cautious.  7, Chinese medicine, Chinese physical therapy: including Chinese herbal medicine, Chinese acupressure and other methods.  Third, other therapies: 1, biofeedback therapy: biological electrotherapy stimulation of muscle tissue to improve the nerve function of muscle tissue.  2, heat therapy: not recommended for patients with fertility needs, local high temperature will affect the production and maturation of sperm.  The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. At the same time, pay attention to the daily care and health care, in the diet, life, work and other aspects of coordination, work and rest, adhere to the exercise, to ensure physical and mental health, to speed up recovery.