How to treat prostatitis

Prostatitis can be treated through lifestyle adjustment, drug therapy, physical therapy, traditional Chinese medicine conditioning, and surgical treatment. Prostatitis may be related to factors such as bacterial infection, immune abnormalities, urinary reflux, mental stress, and prolonged sitting. It usually presents with symptoms such as frequent urination, urgency, and perineal pain.

1. Life adjustment

Avoid sitting for long periods of time and get up and move around for 5-10 minutes every hour. Control your daily water intake to 1500-2000 ml and avoid holding in your urine. Reduce the intake of spicy food, alcohol and caffeine, maintain a regular sleep schedule and moderate exercise, such as walking or swimming, to help improve blood circulation in the pelvic floor. Keep warm to avoid aggravation of symptoms caused by cold. Maintain good bowel habits to prevent constipation.

2. Drug treatment

For bacterial prostatitis, antibiotics such as levofloxacin tablets and azithromycin dispersible tablets can be used as directed by the doctor. For non-bacterial prostatitis, celecoxib capsules can be used to relieve pain, and tamsulosin hydrochloride extended-release capsules can be used to improve urinary symptoms. Some patients may require rectal administration of diclofenac sodium suppositories. All drugs must be used under the guidance of a doctor, and the dosage or course of treatment cannot be adjusted by yourself.

3. Physical therapy

Take a warm sitz bath 1-2 times a day, with the water temperature controlled at 40-45°C, for 15-20 minutes each time. Prostate massage can be performed in the hospital to promote the discharge of secretions, and it must be performed by a professional doctor. Physical therapies such as low-frequency pulse electrical stimulation and microwave heat therapy can improve local blood circulation and relieve muscle spasms. This type of treatment needs to be carried out according to the standard course of treatment, usually 2-3 times a week for 4-6 weeks.

4. Traditional Chinese Medicine Conditioning

Qianlieshutong capsules can be used for damp-heat type, and Qianliexin capsules can be used for qi stagnation and blood stasis type. Acupuncture selects Guanyuan, Zhongji and other acupoints, combined with moxibustion at Shenshu, Bladdershu and other sites. Traditional Chinese medicine enema can use decoction of heat-clearing and detoxifying medicinal materials such as rhubarb and cork. TCM treatment requires syndrome differentiation and treatment. It is recommended to seek treatment at a regular TCM institution and avoid taking folk prescriptions on your own.

5. Surgical treatment

Combined prostate abscess requires transurethral prostate abscess drainage. Transurethral prostatotomy may be an option for severe urethral stricture. For recurrent chronic prostatitis with calcification, seminal vesiculoscopic surgery of the prostate can be considered. Surgical treatment is invasive and is usually used as an option when conservative treatment is ineffective. Drugs and rehabilitation treatment are still required after surgery.

Patients with prostatitis should pay attention to maintaining a moderate sexual frequency and avoid excessive indulgence or long-term abstinence. Foods containing zinc and lycopene such as pumpkin seeds and tomatoes can be appropriately added to the diet. Excessive psychological stress will aggravate symptoms, and you can regulate your emotions through mindfulness meditation and other methods. Bed rest is required during the acute attack period, and exercise can be gradually resumed after symptoms subside. Regularly review prostate fluid routine and ultrasound examination to monitor changes in the condition.