How do patients with chronic prostatitis do? Patients with chronic prostatitis should be careful with antibiotics

Pain in the perineum, frequent urination, urgency of urination, and increased nocturia. If these symptoms occur in young and middle-aged men, they may be suffering from chronic prostatitis. At the sight of the word "inflammation", people will feel that it is infection and inflammation, so they have to fight inflammation and use antibiotics. However, for the "infection" of chronic prostatitis, medical experts do not believe that the effect of antibiotic treatment will be good.

Deng Chunhua, chief physician of urology department of the First Affiliated Hospital of Sun Yat-sen University, introduced: "Chronic bacterial prostatitis generally has a history of acute prostatitis, urinary tract infection and other diseases. Bacterial culture of prostatic fluid can detect Escherichia coli, Proteus and other bacteria. In clinical practice, ciprofloxacin, ofloxacin, roxithromycin and other antibiotics have also been commonly used for treatment. However, because the concentration of antibiotics reaching the prostate with blood circulation is limited, and there is no effective drug concentration, it is difficult for antibiotics to play its role in the prostate 。”

In recent years, some experts in the United States have divided patients with chronic bacterial prostatitis into two groups, one group is treated with antibiotics and the other group is treated with non-antibiotics. The results show that there is no significant difference in the treatment effect between the two groups. This shows that the effect of treating chronic prostatitis with antibiotics is not obvious.

Chronic non-bacterial prostatitis, as the name suggests, has symptoms of chronic prostatitis, but the pathogenic bacteria can not be found, so antibiotics are generally not used for treatment.

In recent years, the medical community has a new consensus on the concept of prostatitis. Deng Chunhua pointed out: "In the past, the treatment of chronic prostatitis was focused on 'infection', and the treatment methods were concentrated on antibiotics and anti-inflammatory drugs. At present, it has developed to focus on 'symptoms', and the treatment goal is to improve symptoms and improve the quality of life." As the most common prostatitis, chronic non-bacterial prostatitis (chronic pelvic pain syndrome) accounts for about 90% of prostatitis patients. The most disturbing thing is that so far, the cause of the disease is still unclear.

Although the etiology is unknown, there are many predisposing factors for chronic prostatitis. For example, excessive drinking, overeating stimulating food, long-term compression of the perineum, and frequent repeated sexual impulse without orgasm may cause chronic congestion of the prostate and induce disease.