Is chronic prostatitis incurable?

Chronic prostatitis can usually be cured, but some patients may have recurring symptoms due to individual differences or improper treatment. Chronic prostatitis may be related to bacterial infection, immune abnormalities, pelvic floor muscle dysfunction and other factors, and manifests as symptoms such as frequent urination, urgency, and perineal pain.

Bacterial chronic prostatitis can be clinically cured through standardized antibacterial treatment. Commonly used drugs include levofloxacin tablets, cefixime dispersible tablets, etc. Symptoms can be relieved by combining warm-water sitz baths and regular urination. Non-bacterial chronic prostatitis requires comprehensive treatment. For example, using celecoxib capsules to relieve pain as directed by your doctor, combined with biofeedback training to improve pelvic floor muscle function, the symptoms of most patients can be significantly improved. Some patients have recurrent inflammation caused by bad habits such as long-term sitting and spicy diet, and the prognosis is good after adjusting their lifestyle.

A few refractory cases with a course of more than 5 years may have tissue fibrosis and require physical intervention such as microwave hyperthermia or transurethral resection of the prostate. Regular follow-up is still required after symptoms are controlled. People with anxiety and depression need simultaneous psychological counseling to avoid aggravating pelvic congestion due to mental factors.

Patients with chronic prostatitis should avoid prolonged sitting and cycling stress, and drink more than 2000 ml of water daily to dilute urine. Perform moderate levator exercises to enhance pelvic floor muscle strength, and reduce the intake of irritating foods such as alcohol and chili peppers. If symptoms persist for more than 3 months or hematuria or fever occur, timely reexamination is required to rule out other urinary system diseases.