How to treat chronic prostatitis

Chronic prostatitis can be treated by adjusting lifestyle, physical therapy, medication, traditional Chinese medicine, and surgery. Chronic prostatitis is usually caused by bacterial infection, immune abnormalities, pelvic floor muscle dysfunction, psychological factors, urine reflux and other reasons.

1. Adjust your lifestyle

Avoid sitting and riding for long periods of time to reduce pressure on the prostate. Maintaining a regular sexual life can help discharge prostatic fluid, but excessive frequency should be avoided. You should reduce the intake of spicy foods and alcohol in your diet, and drink more water to promote urination. Moderate exercise such as walking or swimming can improve pelvic blood circulation. Keep warm and avoid getting cold, especially in the perineal area.

2. Physical therapy

Warm water sitz bath can relieve local pain and discomfort, 1-2 times a day, 15-20 minutes each time. Prostate massage needs to be performed by a professional physician to help drain accumulated prostate fluid. Biofeedback therapy can train pelvic floor muscle coordination. Applying local heat can improve blood circulation. Low-frequency pulsed electrical stimulation can help relieve chronic pain.

3. Drug treatment

For bacterial prostatitis, antibiotics such as levofloxacin tablets and azithromycin dispersible tablets can be used as directed by the doctor. NSAIDs such as celecoxib capsules can relieve pain and inflammation. Alpha-blockers such as tamsulosin extended-release capsules can improve urinary symptoms. Plant preparations such as Puxitai tablets have anti-inflammatory effects. Anti-anxiety drugs such as paroxetine tablets can be used if necessary.

4. Traditional Chinese Medicine Conditioning

Traditional Chinese medicine believes that this disease belongs to the category of "lead syndrome", and prescriptions such as Bazheng Powder plus or minus can be used. Acupuncture points are mostly selected from Guanyuan, Zhongji, Sanyinjiao and other acupoints. Moxibustion on acupuncture points such as Shenque and Qihai can warm Yang and transform Qi. Traditional Chinese medicine sitz bath can use cork, sophora flavescens and other heat-clearing and detoxifying herbs. Massaging the lumbosacral area can dredge the qi and blood in the meridians.

5. Surgical treatment

For patients with prostate stones or severe urination difficulties, transurethral resection of the prostate may be considered. Prostatic capsulotomy is feasible for refractory chronic prostatitis. Patients with bladder neck obstruction require bladder neck incision. All surgical options require strict evaluation of indications. Postoperative medication and rehabilitation training are required.

Patients with chronic prostatitis should establish a regular schedule and ensure adequate sleep. Eat a light diet and eat more foods rich in antioxidants such as tomatoes and pumpkin seeds. Maintain moderate exercise such as Tai Chi, yoga and other soothing exercises. Avoid holding in your urine and overexertion. Regularly review prostate-related indicators and adjust treatment plans as directed by your doctor. Pay attention to psychological adjustment and seek professional psychological support when necessary. Quit smoking, limit alcohol consumption, and keep your weight within a normal range. You should remain patient during treatment and avoid frequent changes in treatment plans.