What are the symptoms and treatment of prostatitis?

Many people have suffered from prostatitis in their daily lives. Patients with prostatitis will mainly show difficulty in urination and may even suffer from sexual dysfunction. Another problem is that in terms of treatment, it is generally necessary to ensure the type of disease and choose different causes according to the disease.

symptom

Typical symptoms

Pelvic and sacral pain, urination abnormalities and sexual dysfunction.

Other symptoms

Systemic symptoms such as chills, fever, fatigue, etc. may also include frequent urination, urgency, rectal irritation, and even acute urinary retention.

Diagnosis

Medical history, symptoms, digital rectal examination, prostatic fluid examination and four-cup test.

Treatment strategy

Determine the type of disease and choose a treatment method based on the cause.

Drug treatment

1. Antimicrobial treatment: The discovery of pathogenic pathogens in prostatic fluid culture is the basis for selecting antimicrobial treatment, with quinolones such as ofloxacin or levofloxacin being the first choice. 2. Symptomatic treatment: anti-inflammatory and analgesic. 3. Physical therapy: prostate massage, hot water sitz bath, microwave, etc. 4. M receptor antagonists: suitable for patients with symptoms of overactive bladder, such as urgency, frequency, and increased nocturia, but without urinary tract obstruction. 5. α receptor antagonists: can effectively improve prostate pain and urination symptoms, and help prevent urine reflux into the prostate.

Surgery

Suitable for patients with recurrent chronic bacterial prostatitis. 1. Prostatectomy: It can achieve the purpose of cure, but it should be done with caution. 2. Transurethral resection of the prostate: Removal of prostate stones and bacterially infected lesions near the prostate ducts helps reduce reinfection of peripheral zone lesions.

Other treatments

1. Biofeedback therapy. 2. Transperineal extracorporeal shock wave therapy. 3. Psychotherapy. 4. Treatment with traditional Chinese medicine.

Prognosis

Some can be relieved on their own, while others may cause urinary tract infection, sexual dysfunction, infertility, etc.