Prostatitis syndrome is a clinical syndrome. It is characterized by frequent and urgent urination, painful and dribbling after urinating, dysuria, pain or discomfort in areas such as the perineum, lower abdomen, the scrotum, and perineum. Prostatitis syndrome can be classified by a variety of methods. In clinic, it’s commonly divided into acute and chronic bacterial prostatitis, chronic nonbacterial prostatitis and prostate pain.
The clinical characteristics of prostatitis syndrome
Acute prostatitis is characterized by sudden fever, chills, pain in the testicle and perineum, discomforting of the whole body, pain in the joint and muscle, along with obvious urinary frequency and urgency, painful and burning urination, dysuresia. The difference between chronic bacterial prostatitis and chronic nonbacterial bacterial is that whether it’s caused by bacteria. The clinical characteristics of the two diseases are similar. They all have the symptoms of testicular pain and perineum pain, urinary irritation or obstruction, erectile dysfunction and psychological stress and anxiety. The pain in the perineum, lower abdomen and testicle, and painful ejaculation are the most typical characteristics of chronic prostatitis.
Treatments of prostatitis syndrome
1.The application of antibiotics, mainly including quinolone, sulfa, macrolides and tetracycline antibiotics.
In the acute phase, patients should take a large number of antibiotics. It’s better to take intravenous administration of antibiotics. Before the pathogenic bacterium is definite, patients can take penicillin, streptomycin, aminoglycoside antibiotics, cephalosporins which can penetrate into the prostate tissue and reach a certain degree of drug concentrations. After the pathogenic bacterium is known, patients will be given corresponding antibiotics according to the results of drug susceptibility.
Generally speaking, in the acute phase of the disease, it’s suitable to use antibiotics for about four to six weeks long rather than for a short time. It’s beneficial to take medicines that are easy to be absorbed by prostate as far as possible. For example, sulfa and quinolone are cheap and have reliable effect. Besides, the medicines have little side effects and high cure rate.
2.Anti-inflammatory agents
There are many researches about curing prostatitis by anti-inflammatory agents. The common medicines include feprazone, indomethacin, diclofenac, ibuprofen which have the functions of eliminating the inflammation, relieving the pain and discomfort. They can also inhibit PGE2 in prostatic fluid. Thus, the swelling and pain can be eased efficiently. In clinic, anti-inflammatory pill is commonly used for treating prostatitis, and it’s usually used along with antibiotics. For instance, diclofenac and quinolone are commonly used at the same time. Diclofenac sodium is a potent anti-inflammatory analgesic , it’s also a kind of inhibitor of prostaglandin synthetase. It can decrease the synthesis and release of prostaglandin without any obvious side effect. in addition, it can also improve the symptoms of prostate pain, urinary frequency and urgency.
3.Pain-relievers
Pain is a signal when the body is facing stimulus or suffering from a disease. It can affect the quality of life at the same time. The chronic pain of prostatitis can be changed by Physiology, psychology, and social function, so patients should attach enough importance to it and get a treatment earlier. The analgesic can be helpful to relieve the pain caused by prostatitis. It’s the same with anti-inflammatory pill, it should be used along with antibiotics as well.
4. α-receptor inhibitor
α-receptor inhibitor is the most important medicine on curing chronic nonbacterial prostatitis and prostate pain. For patients who have no effect with the α-receptor inhibitor they are taking, it’s necessary to choose other same kind of medicine. Prazosin, terazosin, doxazosin, tamsulosin hydrochloride are commonly used for curing prostatitis syndrome. A lot of patients have good curative effect by keeping taking this medicine. Therefore, it’s important to continue using the medicine for half year to avoid the recurrence of the disease.
5.Traditional Chinese medicine
Traditional Chinese medicine has been used for thousands of years, it has a good reputation on curing the diseases. Many patients prefer to cure their diseases by methods that more natural to avoid the side effects to the body. As for curing prostatitis syndrome, it has many successful experiences. For example, Diuretic and Anti-inflammatory Pill has cured many sufferers with prostatitis. It’s a worth-trying medicine for patients with this disease. The herbs in the pill can clear away heat and toxins to avoid the breeding of the bacteria, promote the diuresis and relieve stranguria to solve the urinary problems, and promote the circulation of blood and Qi to relieve the prostatic congestion.
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