How to best treat aseptic prostatitis

Symptoms of aseptic prostatitis can be improved through lifestyle adjustments, physical therapy, drug therapy, etc. The specific plan needs to be formulated by a doctor based on individual circumstances.

1. Lifestyle adjustment

Avoid sitting for long periods of time and riding bicycles to compress the perineum. Get up and move around for 5 minutes every hour. Keep the daily water intake above 2000 ml to promote urination and flush the urethra. Reduce your intake of spicy foods and limit alcohol and caffeine. Regular sex or moderate ejaculation can help relieve pelvic congestion, but excessive frequency should be avoided.

2. Physical therapy

For warm water sitz bath, you can use clean water around 40℃, once a day for 15 minutes to improve local blood circulation. When using a hot water bottle for perineal hot compress, you need to wrap it with a towel to prevent burns. Biofeedback treatment needs to be carried out in professional institutions, and the coordination of pelvic floor muscles is trained through instruments. Low-frequency pulse electrical stimulation can relieve muscle spasms and needs to be performed by a rehabilitation physician.

3. Plant preparations

Universal tablets contain pollen extract, which can reduce frequent urination and perineal swelling. Saw palmetto fruit extract capsules can inhibit the release of inflammatory factors. Nettle root extract tablets may relieve dysuria. This type of drug takes effect slowly and needs to be taken continuously for more than 4 weeks.

4. Alpha blockers

Tamsulosin hydrochloride extended-release capsules relax the smooth muscles of the bladder neck and prostate urethra. Doxazosin mesylate tablets need to be taken from a low dose to prevent orthostatic hypotension. These drugs may cause abnormal ejaculation, which may recover after stopping the drug. Blood pressure changes need to be monitored during medication.

5. Analgesic and anti-inflammatory

Celecoxib capsules selectively inhibit COX-2 enzyme and have less gastrointestinal reaction. Diclofenac sodium sustained-release tablets have obvious effects on pelvic pain but are not suitable for long-term use. Gabapentin capsules are suitable for neuropathic pain and the dose needs to be adjusted gradually. The dose should be gradually reduced after the pain is relieved.

Maintain moderate exercise such as swimming, brisk walking and other aerobic exercise for 30 minutes three times a week. Avoid cold and excessive fatigue, and ensure adequate sleep. Try Kegel exercises to strengthen your pelvic floor muscles. When symptoms persist or worsen, routine prostate fluid and urinary flow rate examinations need to be reviewed to rule out other urinary system diseases. During the treatment period, regular follow-up visits should be conducted to evaluate the efficacy, and the plan should be adjusted according to changes in symptoms.