Do you have to take medicine for chronic prostatitis for a lifetime?

Written by Chen Feng
Urology
Updated on April 09, 2025
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Chronic prostatitis generally does not require lifelong medication. Although the course of chronic prostatitis is relatively long and treatment can be more challenging, requiring a longer treatment period, it usually does not necessitate medication for life. For patients with chronic prostatitis, it is necessary to collect prostatic fluid for examination to check for bacterial or other pathogenic microbial infections. If signs of infection are present, antibiotic treatment is required, which may last for an extended period. Patients can also complement their treatment with warm sitz baths and prostate massage. For those with severe pain symptoms, pain relief medications can be used symptomatically. Some patients may also experience anxiety symptoms, for which anti-anxiety medications can be appropriately used. Typically, treatment cycles for chronic prostatitis last about two months. If the condition improves, medication can be discontinued.

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Can chronic prostatitis be detected by B-ultrasound?

Chronic prostatitis cannot be detected by ultrasound. Ultrasound can only observe the size of the prostate and whether there are nodules inside the prostate gland, but it cannot diagnose whether a patient has chronic prostatitis. Chronic prostatitis must be diagnosed through routine examination of prostate fluid. Patients can visit the urology department of their local hospital for this examination. The first step involves prostate massage. Through this massage, prostate fluid is extracted from the external opening of the urethra, and then this fluid is tested in the laboratory for diagnosis.

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How should chronic prostatitis tinnitus be treated?

Chronic prostatitis with tinnitus primarily requires treatment targeting chronic prostatitis, which can be divided into chronic bacterial prostatitis and chronic nonbacterial prostatitis. Treatment for chronic bacterial prostatitis generally involves using antibiotics to control the infection. For patients with chronic prostatitis, antibiotics that can penetrate the prostate capsule, such as erythromycin or doxycycline, are needed, and the treatment usually lasts for a relatively long time. Additionally, warm water sitz baths or prostate massage can be used to aid treatment. Patients with chronic nonbacterial prostatitis, as there is no bacterial infection, may not need antibiotic treatment. However, if patients experience pain, analgesics can be used for symptomatic treatment. For patients with a longer duration of illness and anxiety, anxiety treatment is also necessary. Warm water sitz baths or prostate massage can also be used to aid treatment.

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Does chronic prostatitis fear fatigue?

Patients with chronic prostatitis should not be overly fatigued and must rest sufficiently in their daily lives. They should avoid vigorous exercise and heavy physical labor. Those with chronic prostatitis should go to the local hospital's urology or andrology department to receive formal inspections and treatments. Prostatic fluid bacterial cultures along with antibiotic sensitivity tests should be conducted. Based on the results, the pathogen and the antibiotics to which it is most sensitive can be identified. Then, the sensitive antibiotics should be chosen for treatment. Additionally, patients can take a warm water sitz bath every evening and regularly visit the hospital for prostate massages, which can significantly aid in the treatment.

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Written by Wang Shuai
Urology
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Do mild symptoms of chronic prostatitis need attention?

Patients with chronic prostatitis who only experience mild urinary frequency and incomplete urination do not need special treatment and can avoid using medication. However, they should pay attention to enhancing lifestyle care, maintaining a light diet, avoiding spicy and irritating food, quitting smoking and alcohol, and controlling the frequency of sexual activity. If these lifestyle care measures are not adhered to, symptoms may worsen, leading to noticeable urinary frequency, urgency, pain during urination, and pelvic pain. If the condition deteriorates further, medication will be required, such as drugs to improve discomfort during urination and antibiotics to alleviate the condition.

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Written by Zeng Zhong
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How much water should be drunk daily for chronic prostatitis?

Patients with chronic prostatitis need to drink plenty of water. It is best to maintain a daily water intake of more than 1500 milliliters, preferably drinking warm boiled water. Patients with chronic prostatitis should adhere to a light, easily digestible diet in their daily lives, avoid spicy and irritating foods, and abstain from alcohol. Chronic prostatitis requires the cultivation of prostatic fluid bacteria, combined with the results of drug sensitivity tests, to select sensitive antibiotics for treatment. Additionally, patients can take warm water sitz baths every evening and regularly visit the hospital for prostate massages, which can greatly aid in treatment.