What treatments are available for chronic prostatitis?

Jun 23, 2024 Source: Cainiu Health
Disease description:

I heard that chronic prostatitis is difficult to treat. Now that I have developed this condition myself, I have been very frustrated. May I ask what treatments are available for chronic prostatitis?

Doctor's answer (1)
Dr. Luo Yong
The treatment of chronic prostatitis mainly includes: 1. Drug therapy: Oral antibiotics: such as fluoroquinolones, third-generation cephalosporins, etc., with appropriate medications selected based on pathogens and physician recommendations. The usual course of treatment is 4–6 weeks. α-receptor blockers: such as tamsulosin, terazosin, etc., which can relax smooth muscles in the prostate and bladder, improving lower urinary tract symptoms and pain. Other medications: including anti-inflammatory analgesics, herbal preparations, traditional Chinese medicine, etc., which can be selected based on the condition and physician recommendations. 2. Non-drug therapy: Prostate massage: performed 1–2 times weekly to drain inflammatory secretions and serve as adjunctive therapy. Sitz bath with warm water: water temperature maintained at 40–42 °C, each session lasting 15–20 minutes, twice daily; long-term adherence can help reduce local inflammation. Acupuncture therapy: including manual acupuncture and electroacupuncture, which can relieve muscle tension and pain symptoms. 3. Psychological therapy: For patients with ineffective drug treatment or significant psychological symptoms, psychological counseling should be provided, and when necessary, treatment should be conducted in collaboration with a mental health professional.