1, patients should pay attention to smoking and drinking.

2. Avoid spicy food.

3. Avoid urinating and sedentary.

4. Patients with acute prostatitis need bed rest.

Second, emergency treatment

When the disease is in acute stage, we can choose transurethral catheter drainage or suprapubic cystostomy. If acute urinary retention occurs, transurethral catheter drainage should be avoided and suprapubic puncture colostomy should be used for treatment.

1. urethral catheterization: a method of bladder decompression by inserting catheter into urethra.

2. Suprapubic cystostomy: This method is suitable for patients with urinary retention who have contraindications to transurethral catheterization or failed intubation. Compared with transurethral catheterization, this method has relatively low incidence of urinary tract infection and no urethral stricture. Another advantage is that the catheter can be clamped to try to urinate without pulling out the tube, so as to avoid re-catheterization after urination failure.

Third, medication.

1, antibacterial drugs:

(1) Acute bacterial prostatitis: Patients with sudden onset generally choose to immediately inject broad-spectrum antibiotics intravenously, such as ciprofloxacin, ofloxacin, cephalosporin, tobramycin and ampicillin. After obtaining the results of bacterial culture, choose more targeted antibiotics. At the same time, patients can also use some painkillers and antipyretics in combination, and a stool softener can be added if defecation is difficult. When the condition is stable, the patient should follow the doctor's advice.

(2) Chronic bacterial prostatitis: According to the results of bacterial culture and drug sensitivity test, sensitive antibiotics were selected to control inflammation. Commonly used antibiotics include levofloxacin, azithromycin and doxycycline.

2. Non-steroidal anti-inflammatory drugs: Celecoxib and other drugs have a certain effect on relieving local pain and discomfort of patients.

3. Alpha blockers: Tamsulosin hydrochloride and other drugs can relax the muscles of the prostate, and have a certain effect on improving the symptoms of pain or urinary obstruction, but it is necessary to pay attention to whether there are any adverse reactions such as dizziness and hypotension during medication.

4. Antidepressants: Patients with chronic prostatitis may have symptoms such as depression and anxiety, and can be treated with drugs such as fluoxetine and diazepam according to the doctor's advice.

Fourth, surgical treatment.

1, acute bacterial prostatitis: this type of abscess, conservative treatment is ineffective, should choose the corresponding surgical treatment.

(1) Incision and drainage: If the abscess is located around the posterior lobe, incision and drainage should be selected and completed through rectum and prostate. Finger examination can obviously feel incision and drainage in rectal submucosa, and pus can flow out from anus. Simple and convenient operation, little damage and thorough drainage. There is generally no need to change dressing after operation, but a few patients may have urinary fistula due to improper operation.

(2) Prostate puncture and drainage: If the abscess is confined to the prostate, you can choose prostate puncture and drainage, that is, puncture the prostate through the rectum or perineum to suck pus. This operation can not only extract tissue for cytological examination, discharge pus, but also inject local drugs into prostate tissue.

2. Chronic prostatitis: Generally, chronic prostatitis does not require surgical treatment. If chronic prostatitis is complicated with other prostate diseases and there are indications for surgery, surgical treatment can be selected.

(1) Transurethral resection of prostate: This operation aims at removing hyperplastic prostate tissue, and is suitable for patients with BPH indications, which can improve the symptoms of BPH.

Five, physical therapy

The thermal effect produced by microwave, radio frequency, laser and other physical means can accelerate the blood circulation of prostate tissue, promote metabolism, help to diminish inflammation, eliminate tissue edema and relieve pelvic floor muscle spasm. And can relieve the discomfort symptoms of patients to some extent.

Sixth, psychotherapy.

Patients with chronic prostatitis with long course of disease and recurrent diseases may have psychological changes such as depression, depression and anxiety. Such patients should actively carry out psychological counseling to relieve mental stress.

Seven, Chinese medicine treatment

1, Chinese patent medicine: Longdan Xiegan Pill can be used for prostatitis caused by damp-heat in liver and gallbladder. Insect pill can be used for prostatitis caused by qi stagnation and blood stasis, white Dihuang pill can be used for prostatitis caused by yin deficiency and excessive fire, and Liuwei Dihuang pill can be used for prostatitis caused by kidney yin deficiency.

2. Ear acupoints: Take the bladder meridian, kidney meridian, sympathetic nerve, adrenal gland and spleen meridian of ear acupoints, and choose 2-4 acupoints at a time, and use magnetic bead embedding method for treatment.

3. Moxibustion method: Take the points of Qihai, Zhongyu and Sanyinjiao, and use hanging moxibustion, taking the flushing of the skin around the points as the degree.

4. Scraping: Take Shenshu and Bladder Meridian on the back, Guanyuan and Zhongji on the abdomen, and Yinlingquan, Sanyinjiao, Taixi and Taichong on the limbs.

Eight, other treatments

1, Prostate massage: Prostate massage can promote blood circulation, gland emptying and drainage of prostate, but it should be noted that patients with acute bacterial prostatitis are prohibited to avoid the spread of infection to other parts. If you give patients a prostate massage, don't pay too much attention and massage for too long, once a week.

2. Rehabilitation training: The patient should carry out perineal muscle training and bladder function training according to the doctor's advice to improve and coordinate the local muscle and organ functions, which is helpful for chronic prostatitis, and can improve the symptoms of pain and discomfort and improve the quality of life.