Treatment of chronic prostatitis is a comprehensive treatment process that includes medication and physical therapy. The medication regimen is determined by the specific type of chronic prostatitis and includes antibiotic therapy, alpha blockers and non-steroidal anti-inflammatory drugs. 1, antibiotic treatment chronic bacterial prostatitis: this type of pathogenic factors are mainly pathogenic infection, the pathogens are mainly Staphylococcus spp, Escherichia coli, Corynebacterium spp, Enterococcus spp, etc. The most commonly used antibiotics are quinolones, such as levofloxacin, ciprofloxacin and lomefloxacin. The course of treatment should be at least 4-6 weeks. Evaluate the efficacy after 2 weeks of medication and if the efficacy is not satisfactory, change to other sensitive antibiotics. Chronic prostatitis/chronic pelvic pain syndrome: The most commonly used medications include antibacterial drugs, alpha-blockers and NSAIDs. Antimicrobial drug therapy is mostly empirical, with oral quinolones for 2-4 weeks, followed by a decision to continue antimicrobial therapy based on efficacy feedback. Antimicrobial drugs are continued only when there is a definite reduction in clinical symptoms. The course of treatment should be at least 4-6 weeks. This type of patients may have mycoplasma and chlamydia infections and can take oral macrolides, such as erythromycin, roxithromycin, clarithromycin, etc. 2. alpha-blockers Alpha-blockers can improve lower urinary tract symptoms and pain by relaxing the smooth muscles in the prostate and bladder and other areas. The main recommended alpha-blockers are: doxazosin, nafpodil, tamsulosin, and tamsulosin.
Nafpydir, tamsulosin and terazosin, etc. The main purpose of NSAIDs is to relieve pain and discomfort, and controlled clinical studies have shown that celecoxib is effective in improving pain and other symptoms in patients with chronic prostatitis/chronic pelvic pain syndrome. 4. Physiotherapy Antibiotics and a-blockers can be used in conjunction with physiotherapy during treatment. The heat effect produced by various physical means can increase the blood circulation in the prostate tissue, accelerate metabolism, help reduce inflammation and eliminate tissue edema, and relieve pelvic floor muscle spasm.
The treatment of prostatitis is a matter of choice, as it can be done through the urethral, transrectal and perineal routes, using microwave, radiofrequency and laser. The treatment of prostatitis is a comprehensive process and rarely can be solved with one method.