How to treat prostate pain

Prostatic pain can be relieved through life intervention, physical therapy, drug therapy, surgical treatment and other methods. Prostate pain is usually caused by prostatitis, prostate congestion, pelvic floor muscle spasm, neurological disorders, psychological factors and other reasons.

1. Life intervention

Proper exercise can help promote local blood circulation and improve prostate pain symptoms. It is recommended to avoid sitting for long periods of time and get up and move around every hour. Pay attention to keeping warm and cold, especially the perineum. Spicy and irritating foods should be avoided in the diet, and alcohol and caffeine intake should be reduced. Maintaining a regular schedule and avoiding staying up late can help relieve symptoms.

2. Physical therapy

A warm sitz bath can help relax the pelvic floor muscles and relieve pain symptoms. 15-20 minutes each time, and the water temperature should be maintained at 40-45°C. Prostate massage can promote the discharge of prostate fluid and reduce congestion, but it needs to be performed by a professional doctor. Biofeedback therapy can help improve pelvic floor muscle dysfunction and train patients to control muscle tension autonomously.

3. Drug treatment

NSAIDs such as celecoxib capsules can reduce inflammation and pain. Alpha-blockers such as tamsulosin extended-release capsules relax the prostate and bladder neck muscles. Muscle relaxants such as flupirtine capsules can relieve pelvic floor muscle spasms. For possible infections, antibiotics such as levofloxacin tablets can be used. When combined with anxiety, you can use anti-anxiety drugs such as paroxetine tablets as directed by your doctor.

4. Traditional Chinese Medicine Conditioning

Traditional Chinese medicine treatment mainly focuses on promoting blood circulation and removing blood stasis, clearing away heat and promoting diuresis. Commonly used drugs include Qianlieshutong capsules, Qianliekang tablets, etc. Acupoints such as Taixi and Sanyinjiao can be used for acupuncture treatment to regulate the function of the urinary system. Moxibustion on Guanyuan, Qihai and other acupoints can warm the meridians, dispel cold, and improve local circulation. Traditional Chinese medicine massage of specific acupoints can also relieve uncomfortable symptoms.

5. Surgical treatment

In severe cases that are unresponsive to medical treatment, transurethral resection of the prostate may be considered to relieve obstruction. Transperineal prostate puncture and drainage is suitable for prostate abscess. Surgery may bring risks such as urinary incontinence and needs to be carefully evaluated. Some special cases may require neuromodulation surgery to treat intractable pain.

Patients with prostate pain should pay attention to maintaining good living habits and avoid holding back urine and overexertion. Moderate exercise such as brisk walking and swimming can help improve symptoms, but exercise that puts pressure on the perineum such as cycling should be avoided. Kegel exercises can be performed daily to strengthen the pelvic floor muscles. It is recommended to increase the intake of antioxidant-rich foods such as tomatoes and broccoli and limit the intake of spicy foods. If symptoms persist or worsen, you should seek medical treatment promptly, choose an appropriate treatment plan under the guidance of a doctor, and do not self-medicate.