How to completely cure chronic prostatitis

Chronic prostatitis symptoms can be gradually relieved through drug treatment, physical therapy, lifestyle adjustments, etc., but some patients may require long-term management to reduce recurrence. Chronic prostatitis may be related to factors such as bacterial infection, immune abnormalities, and pelvic floor muscle dysfunction. It usually presents with symptoms such as frequent urination, urgency, and perineal pain.

1. Drug treatment

Bacterial prostatitis requires the use of antibiotics as directed by the doctor, such as levofloxacin tablets, cefixime dispersible tablets, azithromycin capsules, etc. The course of treatment is usually longer. For non-bacterial chronic prostatitis, α-blockers such as tamsulosin sustained-release capsules can be used to relieve urinary symptoms, or combined with non-steroidal anti-inflammatory drugs such as celecoxib capsules to relieve pain. Some patients may need short-term use of diazepam tablets to improve pelvic floor muscle spasm.

2. Physical therapy

Taking a warm sitz bath 1-2 times a day can help relieve pelvic congestion. Prostate massage needs to be performed by a professional physician to promote the discharge of inflammatory secretions. Transperineal low-frequency electrical stimulation or microwave treatment can improve local blood circulation and is suitable for patients with refractory pain. Some studies show that extracorporeal shock wave therapy has some effect on chronic pelvic pain syndrome.

3. Lifestyle adjustment

Avoid sitting for more than 1 hour, and use a cushion with a sunken center when driving or working. Limit alcohol and spicy food intake to reduce prostate congestion. Regular sex or moderate ejaculation can help renew prostate fluid, but avoid excessive frequency. Keep the daily water intake above 2000 ml to dilute the urine to reduce irritation.

4. Psychological intervention

Long-term chronic pain can lead to anxiety and depression, and cognitive behavioral therapy can help adjust perceptions of the disease. Pelvic floor muscle biofeedback training can improve muscle coordination and needs to be performed under professional guidance. Joining a patient support group can help reduce psychological stress, but avoid focusing too much on symptoms.

5. Traditional Chinese Medicine conditioning

Those whose TCM syndrome is characterized by damp-heat syndrome can choose Chinese patent medicines such as Longqing Tablets and Qianlieshutong Capsules. Qi stagnation and blood stasis can be treated with Qianliexin capsules combined with acupuncture, often using acupuncture points such as Guanyuan, Zhongji, Sanyinjiao, etc. Moxibustion at Baliao point or fumigation with traditional Chinese medicine may improve local circulation, but the acute attack period should be avoided.

During the treatment of chronic prostatitis, a urination diary and symptom changes should be recorded for doctors to evaluate the efficacy during follow-up visits. The diet should be mainly light, with appropriate supplements of foods containing zinc and lycopene such as pumpkin seeds and tomatoes. Perform aerobic exercise such as brisk walking and swimming 3-5 times a week, and avoid activities that stress the perineum such as riding a bicycle. If symptoms persist, routine prostatic fluid and bacterial culture should be reviewed to rule out other urinary system diseases. In cold seasons, keep your waist and abdomen warm to prevent symptoms from getting worse.