How to treat prostatitis

Prostatitis can be treated through lifestyle adjustments, drug therapy, physical therapy, traditional Chinese medicine conditioning, and surgical treatment. Prostatitis may be related to bacterial infection, urinary dysfunction, immune abnormalities, mental factors, long-term urination and other factors. It usually presents with symptoms such as frequent urination and urgency, pelvic floor pain, fever and chills, sexual dysfunction, turbid urine and other symptoms.

1. Lifestyle adjustment

Avoid sitting and cycling for long periods of time to reduce prostate compression. Drink 1500-2000 ml of water every day to promote urination and avoid alcohol and spicy food. Warm water sitz bath can relieve perineal discomfort. It is recommended to take 1-2 times a day. The appropriate water temperature is about 40℃. Regular sexual life helps to discharge prostatic fluid, but frequent sexual stimulation needs to be avoided.

2. Drug treatment

Bacterial prostatitis requires the use of antibacterial drugs such as levofloxacin tablets and azithromycin dispersible tablets as directed by the doctor. Nonsteroidal anti-inflammatory drugs such as celecoxib capsules can relieve pain, and tamsulosin hydrochloride extended-release capsules can improve dysuria. Chronic prostatitis may require the use of plant preparations such as Sheniton Tablets to regulate immune function. Liver and kidney function need to be monitored during medication.

3. Physical therapy

Transrectal microwave hyperthermia can promote blood circulation in the prostate and is suitable for chronic pelvic pain syndrome. Biofeedback training helps patients control abnormal contractions of pelvic floor muscles, 2-3 times a week for 4 weeks. Pulsed radiofrequency therapy reduces pain symptoms through neuromodulation and usually requires 3-5 sessions.

4. Traditional Chinese Medicine Conditioning

For damp-heat type, Bazheng Powder can be added or subtracted, and for blood stasis and blood stasis type, Shaofu Zhuyu Decoction can be used. Acupuncture at perineal acupoints such as Qihai and Guanyuan is used, combined with moxibustion at Sanyinjiao. The traditional Chinese medicine enema recipe contains Cortex Phellodendron, Cortex Cortex, etc., and the liquid temperature should be kept at 38°C for 30 minutes. Treatment based on syndrome differentiation is required and lasts for 1-3 months.

5. Surgical treatment

Prostatic abscess requires transurethral abscess drainage, and endoscopic incision is considered for severe urethral stricture. Transurethral resection of the prostate can be tried for refractory chronic prostatitis, but the impact on sexual function after surgery needs to be evaluated. Indications for surgery include complications such as recurrent urinary retention and secondary bladder stones.

Patients with prostatitis should maintain a regular schedule and avoid overwork and emotional stress. Daily levator exercises are recommended to strengthen the pelvic floor muscles, 30 times in the morning and evening. Pay attention to supplementing zinc and lycopene in your diet, and eat pumpkin seeds, oysters and other foods in moderation. Regularly review prostate fluid routine and urinary flow rate tests, and suspend cycling and heavy physical activities during acute attacks. If you have hematuria or high fever, you need to seek medical attention promptly.