What are the treatments for prostatitis?

Prostatitis can be treated through life intervention, physical therapy, drug therapy, surgery, etc. Prostatitis is usually caused by bacterial infection, immune abnormalities, urine reflux, neuromuscular dysfunction, psychological factors and other reasons.

1. Life intervention

Adjusting your lifestyle can help relieve prostatitis symptoms. Avoid sitting and riding for long periods of time to reduce perineal pressure. Daily warm water sitz bath for 15-20 minutes can promote local blood circulation. Limit alcohol and spicy food intake, and maintain regular bowel movements. Moderate exercise such as walking or swimming can help improve pelvic blood circulation. Maintaining adequate sleep and emotional stability can help relieve symptoms.

2. Physical therapy

Physical therapy methods include prostate massage and heat therapy. Prostate massage performed by professional doctors can promote the discharge of prostate fluid and improve local blood circulation. Heat therapy can act on the prostate area through microwave, radio frequency and other methods to relieve pain and inflammation. Biofeedback therapy can help patients control pelvic floor muscle tension. These methods usually require multiple treatments to be effective and must be performed under the guidance of a doctor.

3. Antibiotic treatment

Bacterial prostatitis needs to be treated with antibiotics. Commonly used drugs include levofloxacin tablets, cefixime dispersible tablets, and doxycycline capsules. A course of antibiotics usually takes 4-6 weeks, and may take longer for serious infections. During treatment, urine culture and drug sensitivity testing are required to guide medication use. Routine antibiotic treatment is not recommended for nonbacterial prostatitis.

4. Symptomatic drugs

Alpha-blockers such as tamsulosin extended-release capsules can relieve symptoms of dysuria. NSAIDs such as celecoxib capsules can help reduce pain and inflammation. Botanical preparations such as Perxta tablets may improve lower urinary tract symptoms. Patients with severe pain may use analgesics for a short period of time. When using any medicine, you must follow your doctor's advice and pay attention to adverse reactions.

5. Surgical treatment

Recurrent chronic prostatitis combined with prostate stones may be considered for surgical treatment. Transurethral resection of the prostate is suitable for patients with bladder outlet obstruction. Rare and refractory cases may require total prostatectomy. Surgical treatment involves risks such as urinary incontinence and sexual dysfunction, and the indications need to be strictly evaluated. Postoperative medication and regular follow-up examinations are still required.

Patients with prostatitis should maintain a regular schedule and avoid overexertion and holding urine for a long time. Eat more fresh vegetables and fruits in your diet, and add an appropriate amount of foods rich in zinc and lycopene such as pumpkin seeds and tomatoes. Quit smoking, limit alcohol consumption, and reduce caffeine intake. Do moderate pelvic floor muscle exercises, but avoid strenuous exercise. Maintain a good attitude and seek psychological support when necessary. Regularly review the medication and adjust the treatment plan as directed by the doctor. Do not stop taking the medication or change the medication plan on your own.