Treatment for Chronic Pelvic Pain Syndrome
Inflammatory chronic pelvic pain syndrome(CPPS)
1. Experimental treatment with broad-spectrum antibiotics
Considering that some cases of CPPS may be caused by some pathogens that are difficult to find, and may also be limited by technical problems or conditions of bacterial culture. Therefore, it is suggested that the experimental treatment of 4-6 weeks of broad-spectrum antibiotics should be carried out for these patients, and the effective antibiotics for chronic bacterial prostatitis can be selected.
2. Non-steroidal anti-inflammatory drugs(NSAIDs)
Many experimental and clinical studies have suggested that prostaglandin E can dilate blood vessels. In chronic abacterial prostatitis, unexplained congestion may be related to this. Therefore, the use of NSAIDs to inhibit the synthesis of prostaglandins is a feasible way to effectively inhibit CPPS, which can not only reduce the number of accessory prostaglandins, the congestion, and edema of gonad can also be effectively alleviated.
3. α adrenergic receptor blocker
Most of the patients with the inflammatory type of chronic pelvic pain syndrome have functional obstruction of the bladder neck and prostate urethra through urodynamic examination, which leads to urine reflux in prostate and ejaculatory duct, causing chemical inflammation.
There are abundant α adrenergic receptors in the bladder neck and prostate smooth muscle. Therefore, α adrenergic receptor blocker can relax the bladder neck and prostate urethra, improve urination and eliminate symptoms.
4. Local administration of rectal suppository
Through the rapid absorption of rectal mucosa into the large circulation, the drug efficacy can reach the focus directly.
5. Antiestrogen therapy
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