Chronic Prostatitis - The "Embarrassing Disease"of Men

Date:2022-06-27 click:0
The prostate is a vital organ for men. Although prostatitis will not directly endanger the patient's life and health, it will cause significant harm to the patient's body and psychology and seriously affect the patient's quality of life. Therefore, timely diagnosis and appropriate treatment are essential.
Chronic prostatitis is clinically divided into two categories: bacterial and nonbacterial. However, patients with chronic prostatitis do not have an acute inflammatory process. Chronic bacterial prostatitis accounts for about 5% to 8% of chronic prostatitis. Chronic nonbacterial prostatitis accounts for more than 90% of chronic prostatitis.

Clinical symptoms
The clinical symptoms of chronic bacterial and nonbacterial prostatitis are similar. Those symptoms include pain and abnormal urination. Bacterial prostatitis can manifest as recurrent lower urinary tract infections. Non-bacterial mainly manifests as long-term, repeated pain in the pelvic region, which can be found in the perineum, penis, perianal region, urethra, pubic region, and lumbosacral region. 
Abnormal urination can be manifested as urgency, frequent urination, dysuria, increased nocturia, etc. Due to chronic pain that cannot be cured for a long time, patients' quality of life decreases, and there may be sexual dysfunction, anxiety, depression, insomnia, and memory loss.
Currently, the diagnostic methods for chronic prostatitis include:
A digital rectal examination.
Laboratory examination (routine examination of prostatic fluid; urine examination; bacteriological examination; chlamydia and mycoplasma examination).
Treatment of chronic prostatitis
The three most commonly used drugs for chronic prostatitis are α-blockers, and other drugs have varying degrees of efficacy in relieving symptoms.
Currently, in the process of the clinical treatment of prostatitis, the most commonly used first-line drugs are antibiotics. Still, only 5% of chronic prostatitis patients have a definite bacterial infection.
Chronic bacterial prostatitis: Antibiotic selection is based on bacterial culture results and the ability of the drug to penetrate the prostate capsule. Commonly used antibiotics are fluoroquinolones such as ciprofloxacin and levofloxacin. After the diagnosis of prostatitis, antibiotic therapy should be maintained for at least 4 to 6 weeks, during which the patients should be evaluated for efficacy in stages. Other sensitive antibiotics can be used instead for those not satisfied with the curative effect.
Chronic nonbacterial prostatitis: Most antibiotic treatment is empirical, and the theoretical basis is that some pathogens that are negative for routine culture have caused this type of inflammation. 
Therefore, taking oral antibiotics such as fluoroquinolones for 2 to 4 weeks is recommended and then deciding whether to continue antibiotic treatment according to the response feedback. Continued use of antibiotics is recommended only if the patient's clinical symptoms are relieved. The recommended total course of treatment is 4 to 6 weeks. Some patients with this type may be infected with intracellular pathogens such as Chlamydia trachomatis, Ureaplasma urealyticum, or Mycoplasma ho-minis and can be treated with antibiotics such as oral macrolides.
Alpha-receptor blockers: Alpha-receptor blockers are divided into one type and two types, of which α1 receptors have the greatest impact on urination. α1 receptors are mainly distributed in the smooth muscle of the prostate stromal, and α1 receptors can effectively reduce bladder muscle. And prostate smooth muscle tension reduces urethral resistance and improves urination function.
Common drugs include terazosin, alfuzosin, doxazosin, tamsulosin, etc. The treatment effect of patients with mild symptoms is very good.
However, alfuzosin and other drugs have common side effects: dizziness, nasal congestion, alcohol addiction, low blood pressure, and so on.
Then, patients who are unsuitable for antibiotic treatment and do not want to have side effects can choose Diuretic and Anti-inflammatory Pill for treatment. It is made from natural herbs and have no side effects. 
In addition to drug treatment, health education, psychological and behavioral counseling should positively affect patients. Patients should abstain from alcohol, avoid spicy and stimulating food, avoid holding back urine, sit for a long time, keep warm, and strengthen physical exercise. A hot sitz bath can help relieve pain symptoms.
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