How should prostatitis be treated

  The prostate is a male reproductive organ, the shape and size of a chestnut, located at the exit of the bladder and wraps around the beginning section of the urethra. The fluid secreted by the prostate is a component of semen, and prostatitis is an inflammation of the prostate gland.  The actual fact that there are clinical symptoms of prostatitis can be divided into three kinds of acute bacterial prostatitis, chronic bacterial prostatitis and chronic non-bacterial prostatitis. The most common type of prostatitis is chronic non-bacterial prostatitis, which accounts for more than 90% of chronic prostatitis, while chronic bacterial prostatitis accounts for only 5-8%. Symptoms of prostatitis include pain in the pelvic region such as the perineum, perianal area, urethra, suprapubic, inguinal, and lumbosacral regions, frequent urination, urgency and effort to urinate, but not necessarily in every patient. Acute bacterial prostatitis can be accompanied by systemic symptoms such as chills, fever and significant urinary symptoms.  Chronic prostatitis is a fairly common, non-life-threatening condition that may resolve on its own in some patients and does not require treatment in all patients. The goals of treatment for chronic prostatitis are primarily to relieve pain, improve urinary symptoms, and improve quality of life.  Although there are numerous treatments and medications available for prostatitis, none of them can achieve the goal of treating all patients or relieving all symptoms. Prostatitis requires a comprehensive treatment approach for different conditions to relieve symptoms and achieve different degrees of therapeutic effect. The comprehensive treatment strategies for prostatitis are: 1. Antibiotics: Patients with acute and chronic bacterial prostatitis need antibiotic therapy, and some patients with chronic non-bacterial prostatitis can try antibiotic therapy.  Acute bacterial prostatitis patients mainly apply antibiotic treatment, such as broad-spectrum penicillin, three generations of cephalosporins, aminoglycosides or fluoroquinolones, as well as symptomatic treatment and supportive therapy.  Chronic bacterial prostatitis, treatment is based on oral antibiotics, 5% of chronic prostatitis has a clear bacterial infection, antibiotics can be selected according to the results of bacterial culture and the ability of drugs to penetrate the prostate, commonly used drugs are fluoroquinolones, such as ciprofloxacin, levofloxacin and lomefloxacin, tetracyclines, such as minocycline, sulfonamides, such as cotrimoxazole. The course of treatment is usually 4-6 weeks, during which the patient should be evaluated in stages of efficacy. Those who are not satisfied with the efficacy can be switched to other sensitive antibiotics. For chronic non-bacterial prostatitis, some patients can take oral antibiotics for 2 to 4 weeks, and then feedback whether to continue antibiotic therapy according to its efficacy. If you have Chlamydia trachomatis, ureaplasma lysis, human type mycoplasma infection patients, available tetracycline class or macrolide class antibiotics treatment.  2, a-blockers: is the basic drug for the treatment of chronic bacterial prostatitis and non-bacterial prostatitis, can relax the smooth muscle of the prostate and bladder and other parts of the body, improve urinary symptoms and relieve pain and discomfort. The drugs are alfuzosin, doxazosin, tamsulosin and terazosin, etc. The medication is usually used for 12 weeks.  3, non-steroidal anti-inflammatory analgesics: for empirical use, can relieve pain and discomfort.  4, M-blockers: can relieve urinary frequency, urinary urgency, nocturia, drugs such as tolterodine.  5, plant preparations: for pollen-based preparations and plant extracts, have non-specific anti-inflammatory, anti-edema, promote the bladder forced urinary muscle contraction, urethral smooth muscle relaxation, can be used to treat chronic bacterial prostatitis and non-bacterial prostatitis. The drugs are Pulsatilla, Sabal Palm, etc. The medication is generally used for 6 months.  6, Chinese medicine: clear heat and dampness, blood circulation and siltation, urination and laxative, drugs are Zegui retention capsule, Weng Li Tong, prostate security suppository, etc.  7, prostate massage: can promote the emptying of the prostate gland ducts, increase the local concentration of drugs, relieve the symptoms of chronic prostatitis patients.  8. Biofeedback therapy: relaxes the pelvic floor muscles and the external urethral sphincter to relieve perineal discomfort and urinary symptoms.  9, heat therapy: increase the blood circulation of prostate tissue, accelerate metabolism, favorable anti-inflammatory, eliminate tissue edema, relieve pelvic floor muscle spasm. The actual physical means of heat therapy are microwave, radio frequency, laser and so on.  10, antidepressants and anti-anxiety drugs: combined with depression and anxiety patients, you can use tricyclic antidepressants, selective 5-hydroxytryptamine reuptake inhibitors and other types of drugs.  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.  There is no sufficient evidence to suggest that prostatitis can be cancerous. Some patients with prostatitis can be accompanied by symptoms of sexual dysfunction such as loss of libido, erectile dysfunction, premature ejaculation, and abnormal semen parameters. Therefore, it should also be treated for different conditions.