What about chronic prostatitis?

  Chronic prostatitis, also known as chronic pelvic pain syndrome, is a common urological disorder with a complex etiology that may be related to pelvic floor muscle dysfunction. The main manifestation is pain in the pelvic region, which can be seen in the perineum, penis, perianal area, urethra, pubic bone or lumbosacral area. Urinary abnormalities may manifest as urinary urgency, frequency, painful urination and increased nocturia. Due to chronic pain that remains untreated, patients have a reduced quality of life and may have sexual dysfunction, anxiety, depression, insomnia, and memory loss.  The goal of treatment for chronic prostatitis is to relieve pain, improve urinary symptoms and improve quality of life, and efficacy evaluation should be based on symptom improvement.  1, general treatment: Health education, psychological and behavioral counseling has a positive effect. Patients should abstain from alcohol, avoid spicy and stimulating food; avoid holding urine, sedentary, pay attention to warmth, and strengthen physical exercise.  2, drug treatment: the most commonly used drugs are antibiotics, alpha-blockers, plant preparations and non-steroidal anti-inflammatory analgesics, other drugs also have different degrees of efficacy in relieving symptoms.  (1) Antibiotics: Currently, the most commonly used first-line drugs in clinical practice for the treatment of prostatitis are antibiotics, but only about 5% of patients with chronic prostatitis have a definite bacterial infection.  (2) Alpha-blockers: Alpha-blockers can improve lower urinary tract symptoms and pain by relaxing smooth muscles in the prostate and bladder and other areas, thus becoming the basic drug for the treatment of type II/III prostatitis. Different alpha-blockers can be chosen depending on the patient’s condition. The main recommended alpha-blockers are: doxazosin, naftopidil, tamsulosin and terazosin, etc. The results of controlled studies have shown that the above drugs have different degrees of improvement on patients’ urinary symptoms, pain and quality of life index.  (3) Botanical preparations: The therapeutic role of botanical preparations in type II and type III prostatitis is gaining attention as the recommended therapeutic drugs. Botanical preparations mainly refer to pollen-based preparations and plant extracts, which have a wide range of pharmacological effects, such as non-specific anti-inflammatory, anti-edema, and promoting bladder contraction and urethral smooth muscle relaxation. The recommended botanical preparations are: Pulsatilla, sabal palm and its infusion, etc. Due to the large number of varieties, their dosage depends on the specific condition of the patient, and the course of treatment is usually measured in months. Adverse reactions are small.  (4) Non-steroidal anti-inflammatory analgesics: Non-steroidal anti-inflammatory analgesics are empirical drugs used to treat symptoms associated with type III prostatitis. Their main purpose is to relieve pain and discomfort.  (5) M-blockers: M-blockers (such as tolterodine) can be used to treat patients with prostatitis who exhibit symptoms such as urinary urgency, frequency and nocturia but no urinary tract obstruction.  (6) Antidepressants and anxiolytics: For patients with chronic prostatitis who have a combination of depression, anxiety and other mood disorders, you can choose to use antidepressants and anxiolytics to treat the prostatitis at the same time. These drugs can improve the patient’s mood disorder symptoms as well as relieve physical symptoms such as abnormal urination and pain. It is important to be aware of the prescription regulations and adverse drug reactions to these drugs when applying them. The main antidepressants and anxiolytics available are selective 5-hydroxytryptamine reuptake inhibitors, tricyclic antidepressants and other drugs.  (7) Chinese herbal medicine: It is recommended that the Chinese herbal medicine treatment of prostatitis be carried out in accordance with the relevant norms of the Society of Chinese Medicine or the Society of Integrative Medicine 3. Other treatments (1) Prostate massage Prostate massage is one of the traditional treatments. Studies have shown that appropriate prostate massage can promote the emptying of the prostate ducts and increase the local concentration of drugs, thereby relieving the symptoms of patients with chronic prostatitis, so it is recommended as type III The most important thing is that it is a good idea to use it as an adjunctive therapy for type III prostatitis. It is prohibited for patients with type I prostatitis.     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. Prostate fluid is an important component of male semen and the use of heat therapy can lead to the phenomenon of semen not liquefying, which can affect fertility.   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. Men should not take a cold shower for more than five minutes, and should immediately dry the body with a dry towel, with little force, until the skin is red, slightly congested, the whole body is hot, in order to play the effect of health care. However, this method is not applicable to privacy.