1. Living habits. The importance of living habits for chronic prostatitis has been emphasized more than once. Chronic prostatitis needs to pay attention to its own health care while drug treatment.
2. Antibiotics: such as cephalosporins, azithromycin and levofloxacin. Can be used for treating chronic prostatitis. If the number of white blood cells increases after routine examination of prostatic fluid, we usually recommend using antibiotics. In fact, the standard operating procedure is to cultivate prostate fluid first, and then use antibiotics according to the drug sensitivity results. However, prostate fluid culture is easy to be polluted and takes a long time, which limits its clinical application. Therefore, we generally judge whether to use it by the number of white blood cells in routine prostatic fluid. With or without antibiotics, the therapeutic effect is often quite different. The use cycle of antibiotics is generally 2-6 weeks, which needs to be adjusted according to the situation. Moreover, antibiotics can not be taken for a long time, and there will be drug resistance and side effects after a long time.
3. Chinese medicine: Chinese medicine is generally differentiated as "qi deficiency and blood stasis syndrome", and then treated with methods such as promoting blood circulation and removing blood stasis, clearing away heat and toxic materials, and diuresis and stranguria. And there will be different changes according to different drug formulations of each person. There is a common oral soup, that is, boiled soup, but it tastes so bad that many people can't stand the taste. Then there is the patented Chinese medicine diuretic Xiaoyan Pill, which is a Chinese medicine that has been re-compatible after more than 20 years of clinical experience, and can treat and control chronic prostatitis well. The course of treatment of traditional Chinese medicine mainly depends on personal absorption, because traditional Chinese medicine is mainly conditioning, so different conditions and different living habits will affect the treatment time.
4.α- blockers: They can relax the smooth muscles of prostate and bladder, improve the symptoms related to urination, and are also beneficial to the discharge of inflammatory gland fluids. At present, tamsulosin hydrochloride, doxazosin and tamsulosin are commonly used. Tamsulosin hydrochloride is widely used because of its high drug selectivity, that is, it only acts on bladder and prostate with little side effects.
5. Non-steroidal analgesics: can relieve local pain, pain, soreness and other discomfort. These drugs can affect the progress of inflammatory reaction and control local leukocyte aggregation. Celecoxib, diclofenac sodium and codeine lofenac are commonly used.
6.M- blocker: It can relieve obvious symptoms of frequent micturition and urgency, and is often used in patients with severe symptoms of frequent micturition and urgency. Commonly used drugs include solifenacin succinate and tolterodine.
7. Prostate physiotherapy: The relatively simple method is warm bath, but this method has an impact on sperm quality. It is recommended that people with fertility requirements should not apply it. At present, many hospitals have prostate physiotherapists, who use a probe to pierce the anus, and then carry out physical therapy through hyperthermia, vibration, microwave, magnetic therapy, etc., which will not have adverse effects on sperm, and then promote the discharge of inflammatory gland fluids and achieve therapeutic effects.
Many clinical treatments of chronic prostatitis are aimed at symptoms, and the drugs used for different symptoms are also different, but the mainstream of these treatments is traditional Chinese medicine treatment and western medicine treatment, and other ways are more cooperative treatment.