Does prostatitis require surgery?

Prostatitis usually does not require surgical treatment, and most symptoms can be improved through medication and lifestyle adjustments. Prostatitis may be related to factors such as bacterial infection, long-term sitting, and decreased immunity. It usually presents with symptoms such as frequent urination, urgency, and perineal pain.

For bacterial prostatitis, antibiotics such as levofloxacin tablets, azithromycin dispersible tablets, and cefixime capsules can be used as directed by the doctor to control the infection. For chronic non-bacterial prostatitis, you can try drugs such as tamsulosin hydrochloride sustained-release capsules and celecoxib capsules to relieve urinary discomfort and pain. During an acute attack, you need to rest in bed and avoid riding a bicycle or sitting for long periods of time. Daily warm water sitz baths can help relieve pelvic congestion. You need to avoid spicy foods and alcohol in your diet, and increase zinc-rich foods such as tomatoes and pumpkin seeds in an appropriate amount.

In rare cases, such as prostate abscess or severe urinary tract obstruction, transurethral resection of the prostate or abscess drainage may be required. After surgery, the urinary catheter needs to be kept unobstructed, and routine prostate fluid and urinary flow rate examinations must be reviewed regularly. On a daily basis, you should avoid holding in urine and overexertion, pay attention to keeping the perineum clean and dry, and perform moderate levator exercises to enhance the function of the pelvic floor muscles. If symptoms continue to worsen or fever, hematuria, etc. occur, you should seek medical treatment in time to adjust the treatment plan.