Post Date April, 15 2023
The main function of the prostate is to assist sperm nutrition and maintain sperm activity. This organ does not produce any hormones.
Prostatitis includes a series of symptoms such as discomfort in urine emptying, prostate pain and radiation to the perineum, lower back, lower urethra and testicles. Prostatitis is mostly seen in patients aged 25-50 years.
Generally, prostatitis is not associated with bacterial infection and is called non-bacterial prostatitis.
At present, acute or chronic bacterial infection occurs in the columnar glands, which is called bacterial prostatitis.
Nonbacterial prostatitis
This is the most common type. It usually occurs repeatedly and lasts for several months without antibiotic treatment.
When the patient has the symptoms of non-bacterial prostatitis, it is suggested that the urine will enter the prostate reversely when discharged and produce uric acid crystals.
At this time, it should be emphasized to the patient to form the correct urination habit, and avoid exerting force at the end of urination. Encourage patients to continue their normal sexual life and reduce anxiety and stress.
Allopurinol 300mg can be used once a day for 3 months when the symptoms are obviously aggravated. This can reduce the deposition of prostate uric acid crystals and relieve discomfort.
2 Bacterial prostatitis
It is generally caused by Escherichia coli (the most common), Streptococcus faecalis, Pseudomonas and Staphylococcus. Some chronic infections are related to chlamydia trachomatis.
2.1 Acute bacterial prostatitis
1 Amoxicillin (or) ampicillin 2g intravenously, once every 6 hours; Add
2 Gentamicin 5mg/kg/day, once a day
Until the symptoms are obviously improved, it can be adjusted to other appropriate oral drugs according to the results of bacterial culture and drug sensitivity test. The total course of medication is 14 days.
For mild infection, oral amoxicillin+potassium clavulanate, or trimethoprim, or norfloxacin can also be used. After the formation of urine retention or abscess, it is almost necessary to open and drain under the guidance of endoscope.
2.2 Chronic bacterial prostatitis
It is difficult to distinguish between chronic bacterial prostatitis and non-bacterial prostatitis. In case of unclear identification, antibiotic treatment should be avoided as far as possible. Comfort and relaxation are very important for patients. At the same time, patients should be encouraged to ejaculate regularly and bathe in warm water.
One of the following antibacterial drugs can be selected:
1 Doxycycline 100mg once a day for one month
2 Trimethoprim 300mg once a day for one month
3 Norfloxacin 400mg twice daily for one month
4 Ciprofloxacin 500mg twice daily for a month
