How is chronic prostatitis treated?

Prostatitis is a common urological condition and ranks first among male patients under 50 years of age in urology departments. It refers to a prostate disorder caused by multiple, complex factors, clinically characterized primarily by urinary tract irritation symptoms and chronic pelvic pain. So, how is chronic prostatitis treated? Below, we address this question.

How Is Chronic Prostatitis Treated?

1. Prostatic Fluid Examination

If the prostatic fluid contains an elevated number of white blood cells—e.g., exceeding 10 per high-power field—a bacterial culture of the prostatic fluid should be performed to identify the causative organism and determine antibiotic sensitivity. Antibiotics selected based on sensitivity testing are then administered. In clinical practice, fluoroquinolones (e.g., levofloxacin) are the first-line antibiotics. For pain relief, nonsteroidal anti-inflammatory drugs (NSAIDs), such as indomethacin suppositories, may be prescribed orally. If urinary obstruction occurs, alpha-blockers—such as tamsulosin hydrochloride—may be used. Additionally, traditional Chinese medicine (TCM) can be employed for treatment, offering minimal side effects.

2. Daily Self-Care

Patients with prostatitis should avoid prolonged sitting and urinary retention. They must also abstain from alcohol, tobacco, and spicy foods, maintain good personal hygiene, and drink plenty of water. Furthermore, excessive sexual activity should be avoided, as frequent intercourse may cause persistent prostate congestion, potentially leading to prostate enlargement. Regular physical exercise—such as jogging or skipping rope—can promote systemic circulation and aid inflammation resolution.

3. Ultrasound Therapy

Physical therapy for prostatitis commonly employs therapeutic ultrasound, which significantly alleviates urinary tract irritation symptoms and improves local blood circulation. Moreover, physical modalities generally carry minimal systemic side effects. Radiofrequency therapy is currently considered an ideal treatment option for prostatitis. Most patients receive shortwave diathermy, which—though not directly bactericidal—enhances the body’s immune defense mechanisms, thereby achieving therapeutic efficacy against prostatitis.

The above outlines the main approaches to treating chronic prostatitis. We hope this information proves helpful to you.