The previous introduction of the classification and examination of prostatitis, I believe you have a preliminary understanding of this disease. 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 word “inflammation” is easily associated with the term “anti-inflammatory” and “anti-inflammatory drugs”. In fact, as we have already mentioned, the percentage of prostatitis due to bacterial infection is not more than 10% of all patients, i.e. type 1 and type 2 patients, and most patients do not find evidence of bacterial infection through urine and prostate fluid examination, which in principle does not require antibiotic treatment. Here we look at how antibiotic treatment should be used if it is needed, and what treatment options are available for patients who do not need antibiotic treatment. Let’s start with patients with type 1 and type 2 with bacterial infection. These patients should be given antibiotic therapy as soon as the diagnosis is clear. For antibiotic selection, sensitive antibiotics should be chosen if bacterial culture results are available, or broad-spectrum antibiotics if the onset is rapid and it is too late to wait for bacterial culture. Then comes the biggie. For patients with prostatitis without evidence of bacterial infection, my opinion is that antibiotic therapy is not needed, even if it is applied experimentally, is not advocated. With newer and improved clinical testing techniques, most pathogenic microorganisms can be screened and confirmed by testing, so there is no basis for giving antibiotic therapy to patients with no detectable pathogens. So, what is used for this group of patients? First of all, it is necessary to change the lifestyle, quit smoking and drinking, do not eat spicy food, avoid being sedentary, do not hold urine, and maintain a regular sex life. For medication, you can choose 1 alpha-blockers. The representative drugs are terazosin, tamsulosin and doxazosin. Such drugs can relax the prostate and bladder smooth muscle to reduce pain. These drugs have the side effect of causing postural hypotension, so they should be taken at bedtime. The course of treatment is 12 weeks or more.2 Botanical preparations. Botanicals are a breath of fresh air in the clinical treatment field. They have become the choice of many patients because of their mild side effects, good safety and efficacy. The main botanical preparations for prostatitis are Pulsatilla (Sernitone) and Sabal palm infusion. The duration of treatment is about 6 months.3
M-blockers. The representative drug is tolterodine tartrate. It can relieve symptoms such as frequent urination, urgent urination and nocturnal urination. These are the main drugs that directly target prostatitis. For patients with combined emotional problems such as anxiety and depression there are also antidepressant or anti-anxiety medications available.