What are the treatment methods for chronic non-bacterial prostatitis?

Patient's question:

I have sterile prostatitis after completing the prostatic fluid culture. How should I treat it? How long will it take to recover?

Doctor's answer:

Nonbacterial prostatitis is a disease caused by a variety of complex causes and triggers, leading to intricate pathological changes involving inflammation, autoimmune responses, and neuroendocrine factors. It primarily manifests as urinary irritation symptoms and chronic pelvic pain, and often involves psychological symptoms, with diverse clinical presentations. The course of the disease is slow, making it difficult to cure. Initially, oral antibiotics can be taken for 2 to 4 weeks, followed by a decision on whether to continue antibiotic treatment based on its effectiveness. It is recommended to use α-adrenergic blockers to stabilize urinary symptoms and pain. Plant-based preparations, nonsteroidal anti-inflammatory analgesics, and M-receptor blockers can also be chosen to stabilize urinary symptoms and pain.

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