How to treat chronic prostatitis

Chronic prostatitis can be treated through lifestyle adjustments, physical therapy, drug therapy and psychological intervention. Chronic prostatitis mainly manifests as symptoms such as frequent urination, urgency, and perineal discomfort. The cause may be related to infection, immune abnormalities, pelvic floor muscle dysfunction and other factors.

1. Lifestyle adjustment

Avoiding sitting for long periods of time and reducing the intake of spicy foods can help relieve symptoms. Drinking an appropriate amount of 1500-2000 ml of water every day and regular urination can reduce urine accumulation. Limit alcohol and caffeine intake to reduce prostate congestion. Moderate Kegel exercises can improve pelvic floor muscle function, and warm water sitz baths 3-5 times a week can also promote local blood circulation.

2. Physical therapy

Prostate massage needs to be performed by a professional physician, which can promote the discharge of glandular secretions. Microwave heat therapy relieves pain through a deep warming effect and generally requires 10-15 sessions. Low-frequency pulse electrical stimulation through the perineum can improve local microcirculation and has a better effect on intractable pain. Biofeedback therapy can help patients learn to control pelvic floor muscle tension.

3. Antibiotic treatment

When bacterial prostatitis is diagnosed, antibiotics should be used as directed by your doctor. Commonly used drugs include levofloxacin tablets, azithromycin dispersible tablets, and doxycycline capsules. The course of treatment usually lasts 4-6 weeks. Prostatic fluid culture needs to be reviewed regularly during medication, and the plan should be adjusted based on drug sensitivity results. Routine use of antibiotics is not recommended for nonbacterial prostatitis.

4. Symptomatic drug treatment

Tamsulosin hydrochloride extended-release capsules relax the smooth muscles of the prostate and bladder neck. Celecoxib capsules have anti-inflammatory and analgesic effects and are suitable for people with severe pain in the perineal area. Diosmin tablets can improve microcirculation disorders and relieve tissue edema. People with difficulty urinating can use terazosin tablets for a short period of time, but attention should be paid to the risk of orthostatic hypotension.

5. Psychological intervention

The long-term course of the disease may lead to anxiety and depression, and cognitive behavioral therapy can improve incorrect disease cognition. Stress management and relaxation exercises can help reduce excessive tension in the pelvic floor muscles. If necessary, anti-anxiety drugs such as paroxetine tablets can be used short-term under the guidance of a psychiatrist. Establishing a regular schedule and moderate exercise habits are helpful for physical and mental regulation.

Patients with chronic prostatitis should maintain moderate exercise such as walking and swimming, and avoid activities that press the perineum such as riding a bicycle. The diet should be light, and pumpkin seed oil and lycopene can be supplemented appropriately. Pay attention to keeping warm and avoid catching cold. Regular sexual life will help the discharge of prostatic fluid. If symptoms continue to worsen or hematuria, fever, etc. occur, please seek medical attention promptly for review. During the treatment period, regular follow-up visits are required as directed by the doctor to avoid stopping the medication or changing the plan on your own.