Is antibiotics the first choice for treating chronic prostatitis? What is the treatment goal of chronic prostatitis

Perineal pain, frequent urination, urgency of urination, and increased nocturia. If these symptoms occur in young and middle-aged men, they are likely to suffer from chronic prostatitis. When people see this "inflammation", they will think it is infection and inflammation, so they must eliminate inflammation and use antibiotics. However, there is often no bacterial infection in the "infected" patients with chronic prostatitis, so the effect of antibiotic treatment is not necessarily good. Can prostatitis be cured? There are several types of prostatitis, not all of which are suitable for antibiotic treatment.

What medicine is suitable for prostatitis?

Experts pointed out that chronic bacterial prostatitis generally has a history of acute prostatitis, urinary tract infection and other diseases, and bacteria such as Escherichia coli and Proteus can be found in prostate bacterial culture. Ciprofloxacin, ofloxacin, roxithromycin and other antibiotics are also commonly used in clinical treatment. However, due to the limited concentration of antibiotics and the lack of effective drug concentration, antibiotics are difficult to play a role in the prostate.

In recent years, American experts have divided patients with chronic bacterial prostatitis into two groups, one is treated with antibiotics, the other is treated with non-antibiotics. The results showed that there was no significant difference between the two groups. This shows that the effect of treating chronic prostatitis with antibiotics is not obvious.

In fact, chronic non-bacterial prostatitis is the most common type of prostatitis, accounting for about 90% of patients with prostatitis. As the name implies, chronic non-bacterial prostatitis is not an inflammation caused by pathogenic bacteria, but a chronic disease caused by a series of other factors.

It is not difficult to see that for chronic prostatitis, "non-bacterial" does not need antibiotic treatment, and "bacterial" antibiotic treatment effect is not obvious, so antibiotics must be used with caution. There is a saying in the academic community that antibiotics have retired from the "main camp" and become no longer important or even unnecessary.

Some experts pointed out that the treatment goal of chronic prostatitis is mainly to relieve pain, improve urination symptoms and improve the quality of life. Relieving symptoms is the main basis for evaluating the therapeutic effect of chronic prostatitis. α- Drugs such as receptor blockers have a good effect on relieving symptoms. Patients should follow the doctor's advice and follow up on time.