Chronic prostatitis and the type of treatment

As the etiology of chronic prostatitis complex, in addition to prostate concealed location, medication difficult to achieve noticeable results, doctors felt clinical treatment extremely difficult. In recent years the study that prostatitis is not a single disease, but is a distinct reasons. Performance and the results of a class syndrome, "prostatitis syndrome." It was put into chronic prostatitis chronic bacterial prostatitis. Chronic nonbacterial prostatitis and prostate pain three categories, the same prostatitis syndrome. According to reports of non-bacterial prostatitis incidence of bacterial prostatitis eight times. This clinic is of special significance. Such syndrome are outlined. Chronic bacterial prostatitis : 1. A voiding symptoms including urinary frequency, urgency and urge irritation. and the end of urine trickling white. perineum. perianal. suprapubic. the lower abdomen. lumbosacral. Transurethral discomfort or pain associated with testicular insomnia, premature ejaculation. impotence; 2. EPS (EPS) white blood cell (WBC) "10 / vision mirror each high power (HP); 3. midstream urine culture positive; 4.EPS bacterial culture (+), can be diagnosed as chronic bacterial prostatitis. Nonbacterial prostatitis : (1) have similar chronic bacterial prostatitis symptoms; (2) EPS WBC "10 / HP; 3. EPS middle of urine and bacterial cultures were (-); but (4) urine polymerase chain reaction (PCR) trachomatis. Mycoplasma (+). Prostate pain : 1. Voiding hesitate. Unable to flow. Perineum. Penis. Urethral pain; 2.EPS WBC normal; 3. midstream urine culture and EPS was no bacterial growth; 4. uroflowmetry : maximum and average urinary flow rate, the decline will be diagnosed with prostate disease. It was reported outside the so-called "chronic prostatitis" is a tense and closely related factors, known as "tense prostatitis." Apart from these patients with chronic prostatitis symptoms, often anxiety. Fear. Feel angry. For such patients without medication and prostate massage, the mere adoption of the elimination of tension, The results are 86% in patients with symptoms improved or disappeared. That the author of chronic prostatitis, only a different diagnosis, treatment programs for differentiated treatment, can be achieved satisfactory results. First, the chronic bacterial prostatitis, emphasizing attention to the selection of antibacterial drugs principles : (1) Given the prostate itself of certain physicochemical properties, Therefore, selection could penetrate prostatic capsule on Sebaceous of antibacterial drugs should be alkaline. Fat-soluble high. And plasma protein binding rate is low. Diffusion will be good to the prostate. Role in the stromal cells of drugs, If new quinolones (Ciprofloxacin. Ofloxacin, etc.). minocycline. Erythromycin; (2) more than two and a synergy with the drug in conjunction with the alternate use; (3) to promote the big-time dose and the drug law. A group of authors in the diagnosis of bacterial prostatitis patients, the use of ofloxacin. Minocycline, for 4 ~ 6 weeks efficiency of 96.7%. Secondly, the chronic non-bacterial prostatitis, it is noteworthy that such patients WBC EPS higher than normal. There is a prompt inflammation, but the bacterial cultures were negative. Note nonbacterial prostatitis is not possible to identify the pathogen infection, When Chlamydia trachomatis. Ureaplasma urealyticum (+), became suspicious pathogenic factors. A group of authors in the diagnosis of non-bacterial prostatitis patients using minocycline. 4 gang Downs thread ?Πopens blast? For 4 weeks, efficiency of 80%. Finally, the prostate pain, pelvic pain due to prostate sympathetic dysfunction caused by urethral sphincter spasm. Urethral stricture to flow disruption (functional obstruction), rather than infectious disease, with antibiotics ineffective. This disease, lifting pelvic floor muscle and urethral sphincter spasm, is the main treatment measures. The author of a group diagnosis of prostate pain patients, using a-receptor antagonist prazosin. terazosin for treating 3 ~ 4 weeks, in all cases the clinical symptoms and urinary flow rate, there is a marked improvement, proof of such drugs to treat prostate pain is an effective drug. In drug treatment at the same time, there should be regular (at least a week) for prostate massage to facilitate drug dispersion, and promote gland fluid drainage. For those "tension prostatitis," patients should be asking their work to avoid excessive. Fatigue. Anxiety and other stress factors. supplemented by sedatives and psychological therapy. Patients should also be warned that drinking heavily can cause urinary reflux symptoms so aggravating, Flavor sexual recklessness. coitus interruptus. long-distance riding on horseback. Regular seating work. cold catch cold and other factors make prostate hyperemia, induced illness, and should be avoided. Adenovirus abstinence is not conducive to fluid drainage, should resume a pattern of sexual life.