Post Date December, 03 2023
The etiology and pathogenesis of prostatitis are very complex, and the treatment is also difficult. Therefore, the World Health Organization calls this disease "the 21st century disease". So, what are the treatment methods for prostatitis and which method has the best effect?
Does prostatitis require antibiotic treatment?
Antibiotic treatment is a commonly used method for the treatment of prostatitis in clinical practice.
Theoretically, antibiotics are only effective for acute bacterial prostatitis and chronic bacterial prostatitis. Abuse of antibiotics can easily lead to bacterial resistance.
When using antibiotics, it is advisable to choose antibiotics that are fat soluble, easily penetrate the prostate barrier, and have a low binding rate with plasma proteins. First-line drugs such as quinolones (such as norfloxacin, levofloxacin, sparfloxacin, etc.), sulfonamides (such as cotrimoxazole), and tetracyclines (such as tetracycline, minocycline) can be selected.
In general, asymptomatic prostatitis may not be treated unless it affects fertility. The diagnosis and treatment of acute bacterial prostatitis is relatively easy, with a good prognosis. Most patients can fully heal, but a few patients become chronic. Acute bacterial prostatitis should be treated with fast and effective antibacterial drugs, such as cotrimoxazole and cephalosporin, which can quickly control inflammation. The medication should continue for a period of time to prevent it from becoming chronic or recurrent.
For chronic bacterial prostatitis, sensitive antibiotics such as cephalosporin and minocycline can be selected based on bacterial culture and drug sensitivity tests.
For chronic non bacterial prostatitis, if it can be clearly identified as chlamydia and/or mycoplasma infection, erythromycin, minocycline, and bazaar can be selected. If there is no chlamydia, mycoplasma, or other clear pathogen infection, antibiotics should not be used due to poor efficacy after application.
Attention should be paid to adhering to a certain period of medication, generally 1 to 4 months, up to 6 months, withdrawal of medication is easy to relapse. After recurrence, it is generally recommended that one course of antibiotics can be used again.
Is Hale, Mashanib, and other drugs effective for prostatitis?
Hale and Mashani belong to α 1A-receptor blockers can improve urinary irritation symptoms and are effective for both chronic bacterial and chronic non bacterial prostatitis. use α- Receptor blockers can relax tense bladder neck and prostate tissue, reduce urethral closure pressure, eliminate urine reflux in the prostate during urination, improve urination function, and eliminate symptoms in patients with prostatitis.
When do I need prostate massage?
Prostate massage refers to massaging the prostate gland, which can dredge the prostate duct. Prostate massage is prohibited in patients with acute bacterial prostatitis to prevent the spread of infection. Patients with chronic prostatitis can be massaged 2-3 times a week.
What are the therapeutic effects of ultrashort wave, microwave, and radio frequency? Can surgical treatment be considered?
These three methods promote local blood circulation in the prostate, increase the permeability of prostate acini and ducts, and improve the symptoms of patients through thermal effects and heat conduction. Ultrashort wave is superior to microwave and radio frequency, requiring no catheterization, and has a better therapeutic effect in combination with antibiotics.
Prostate gland is the largest accessory gonad in men, which is closely related to reproduction and fertility. Therefore, surgical treatment is not recommended for patients of childbearing age. Surgery is only suitable for patients with refractory conditions, recurrent symptoms, a large number of prostate stones, and elderly patients, but the efficacy is still uncertain.
Pain is the main symptom of prostatitis. What methods can be used to alleviate it?
Pain is the most common symptom of chronic prostatitis and the main reason for most patients to seek medical advice. Experimental studies have confirmed that prostatitis pain is a type of nerve involvement pain secondary to the prostate gland and is closely related to pelvic floor muscle dysfunction. Therefore, neuromuscular regulation therapy is the best strategy for treating prostatitis pain.
What are the methods of traditional Chinese medicine treatment?
Traditional Chinese medicine treatment mainly adopts methods such as regulating qi, promoting blood circulation, and relieving pain. Traditional Chinese medicine believes that symptoms such as low back pain and weak legs, lack of energy, and affecting sexual function are kidney deficiency, so the method of tonifying the kidney should be used for treatment.
Many pharmaceutical companies have developed traditional Chinese patent medicines and simple preparations due to the difficulty in preparing and taking traditional Chinese medicine. Currently, Qianlie'an Suppository and Zegui Longshuang Capsules are available on the market.
Qianlie'an Suppository is a suppository that is administered through the rectal route, with rapid absorption and rapid onset of effect. It can play a role in reducing inflammation and urethral resistance, thereby relieving prostatitis.
Zegui Longshuang Capsule has the effects of relieving heat, removing stasis and nodules, promoting blood circulation and detumescence, and resolving qi and diuresis. It can improve blood circulation in the pelvic floor, eliminate prostatitis, hyperemia, and edema, and relieve tension myalgia in the perineum and pelvic floor, with a good therapeutic effect.
What other issues should be noted besides treatment?
1. Confidence in overcoming diseases should be established. Chronic prostatitis is not an incurable disease, but it has a longer course and is prone to relapse. Adhering to comprehensive treatment is still expected to achieve a radical cure.
2. Living and developing good living habits; Prevent excessive fatigue, prevent colds, prohibit smoking and alcohol, and avoid spicy and stimulating diet; Riding fewer bicycles; Don't have sex too often or abstinence.
3. Interests, hobbies, and appropriate physical exercise to transfer the psychological burden of chronic prostatitis and eliminate anxiety.
