Post Date December, 03 2023
Many chronic prostatitis patients who have not recovered for a long time have experienced painful medical experience. They are prone to believe in false advertisements, Jianghu doctors and "medical care" propaganda, and believe that there is a "panacea" for chronic prostatitis. Therefore, we will spend a lot of money, but eventually we will only suffer from economic and spiritual blows again and again. Most of the so-called "magic" drugs are antibiotics.
In fact, the chronic prostatitis currently diagnosed clinically is not a single disease, but a group of diseases with abnormal urination, pain and discomfort in the lower abdomen and perineum, and increased (or normal) white blood cells in prostate fluid. Each patient has different causes, including bacterial infection, severity of illness, mental and psychological factors, drug sensitivity, and response to treatment. Therefore, there is no "panacea" suitable for all patients and able to "cure" prostatitis.
In recent years, the treatment of chronic prostatitis has made great progress. The biggest change is that the treatment focuses on controlling and improving the symptoms of discomfort, rather than "removing the root". At the same time, antibiotics have retreated from the "main camp" of drug use and become no longer important or even unnecessary.
The long-term suffering of the disease makes prostatitis patients eager to quickly change the painful status quo, and their most urgent need is to work quickly. In view of the characteristics of multiple factors and multiple causes of prostatitis, we currently advocate the use of drug combination therapy to change urination and local pain and discomfort. The drugs currently used are as follows:
α Receptor blocker: can reduce the pressure of the posterior urethra, make urination smooth, and reduce discomfort;
Antispasmodic drugs: can relieve the spastic state of pelvic floor muscles, play a role in relieving pain and promoting urination;
Anticholinergic drugs: can improve dysuria;
Non-steroidal anti-inflammatory drugs: have dual effects of anti-inflammatory and analgesic;
Uric acid reducing drugs: can reduce the chemical stimulation of urine reflux to the prostate;
In addition, botanical drugs, rectal suppositories, antidepressants, sedative and anti-anxiety drugs, brain tonic drugs and other drugs have a synergistic effect on improving symptoms.
When selecting drugs, the compatibility type and dosage should be formulated individually according to the specific conditions of patients. There is no contraindication for the compatibility of the above drugs. except α Receptor blockers are prone to induce orthostatic hypotension, and other drugs have no obvious side effects except that the first dose needs to be halved. Generally speaking, the combination of drugs takes effect in 1-2 days, and can achieve significant effect within 1 week, which can relieve the clinical symptoms of most patients. Doctors should accurately predict the curative effect of drugs, adopt short-term treatment and short-term effective strategies, let patients return to the clinic as soon as possible, and regularly feedback the treatment effect, so that they can adjust the treatment methods and drugs in time, and better consolidate the curative effect.
In addition, patients should build confidence in overcoming disease, change unhealthy lifestyle and habits, adjust their nervous and anxious mood, and actively cooperate with treatment. In fact, the vast majority of patients with refractory chronic prostatitis can significantly improve their symptoms and even recover.
(Intern editor: Cai Junyi)
