Patient's question:
I got prostatitis last month. There is a burning and distending pain in the perineum, a sense of fullness and heaviness in the anus and perineum, occasional urge to defecate, but normal bowel movements. There is a burning pain at the base of the penis and a scorching sensation in the scrotum. Sitting down causes pressure pain in the prostate.Doctor's answer:
The main goal of treating chronic prostatitis is to relieve pain, improve urinary symptoms, and enhance quality of life. Efficacy evaluation should primarily focus on symptom improvement.1. General Treatment
Health education, psychological, and behavioral counseling have a positive effect. Patients should abstain from alcohol and avoid spicy and irritating foods; avoid holding urine, prolonged sitting, and pay attention to keeping warm while strengthening physical exercise.
2. Medication Treatment
The most commonly used medications are antibiotics, α-blockers, plant-based preparations, and nonsteroidal anti-inflammatory analgesics. Other medications also have varying degrees of efficacy in symptom relief. Patients should engage in self-psychological (self-counseling), maintain a cheerful and optimistic attitude, abstain from alcohol, avoid spicy and irritating foods; avoid holding urine, prolonged sitting, and long-distance cycling or horseback riding, pay attention to keeping warm, and strengthen physical exercise.