Prostatitis is known for its prolonged and challenging treatment, and neglecting its care can lead to exacerbation or recurrence, significantly disrupting men's daily lives. What might surprise you is that chronic prostatitis may not be improving because you have a tendency to hold in your urine.

In essence, holding urine can potentially worsen prostatitis.

Prostatitis patients who delay urination often experience disruptions in the nerve function controlling bladder contractions. This, in turn, weakens the tone of the urethral muscle, increasing the risk of urinary obstruction and retention. Moreover, prolonged urine retention can elevate bladder pressure, leading to urine reflux into the prostate, where crystals may deposit. Over time, this can readily intensify prostatitis.

Furthermore, holding urine can induce tension in pelvic muscles, hampering local blood circulation, intensifying prostate congestion and swelling, all of which can trigger prostatitis or worsen an existing condition.

Hence, it's crucial for patients to avoid the habit of retaining urine, as the consequences can be severe. To prevent prostatitis from recurring, men should take proactive steps to address the disease comprehensively. Common treatment methods encompass general care, surgery, and drug treatment, as follows:

1. General Treatment

Patients are advised to abstain from alcohol, steer clear of spicy and stimulating foods, avoid prolonged sitting, maintain warmth, and engage in suitable physical exercise. While warm sitz baths can alleviate pain symptoms, men with reproductive needs should use them cautiously, as they may impact sperm quality.

2. Drug Treatment

Drug treatment primarily revolves around antimicrobial drugs, with an emphasis on selecting sensitive medications. Quinolones, such as ciprofloxacin and levofloxacin, are commonly used. Due to the influence of the prostate membrane on drug penetration, acute treatment should persist for a minimum of 4-6 weeks. Patients should evaluate treatment efficacy stage by stage, ideally after two weeks of medication.

If satisfactory progress is observed, treatment should continue until the full course is completed. Additionally, alpha-blockers can improve urinary symptoms and pain, while non-steroidal anti-inflammatory drugs like celecoxib can alleviate local pain and discomfort.

3. Surgical Treatment:

Surgical interventions encompass procedures such as urethral stricture dilation, drainage of prostate abscesses, bladder neck removal, and partial or complete prostate removal. The specific surgical approach depends on the underlying issue.

4. Prostate Massage

Prostate massage is a traditional treatment method. Adequate massage can enhance the emptying of prostate gland ducts and elevate local drug concentration, thereby relieving chronic prostatitis symptoms and significantly shortening the disease's duration when combined with other treatments.

5. Physical Therapy

Physical therapy options include biofeedback therapy, heat therapy, red light therapy instruments, transperineal extracorporeal shock wave therapy, and more. Patients should choose appropriate therapies in line with their condition and under the guidance of a medical professional.

In conclusion, men with prostatitis should promptly seek professional medical assistance to identify the underlying cause and pursue tailored treatment. Additionally, they should be vigilant in improving daily habits by avoiding urine retention and extended periods of sitting, as these can exacerbate the condition. Engaging in suitable exercise to enhance physical fitness and resistance is another effective measure to alleviate symptoms.

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