Analysis of radical cure for chronic prostatitis and selection of treatment options for prostate cancer

Prostatitis is a common disease among middle-aged and young men. Factors contributing to its difficulty in treatment include a lipid capsule hindering drug penetration, the lack of standardized treatment guidelines, antibiotic overuse, and high levels of psychological stress. While prostatitis can currently be clinically cured (symptoms disappear), a pathological cure is impossible. Asymptomatic individuals do not require treatment. Those with symptoms should abstain from smoking, alcohol, and spicy foods, and learn to distract themselves. Appropriate use of smooth muscle relaxants is recommended, and antibiotics should not be administered for more than one month.

New approaches to preventing and treating chronic prostatitis include: First, regular sexual activity can drain prostatic fluid and relieve pain. Second, warm sitz baths or perineal heat compresses improve circulation. Third, prostate massage, once a week, can drain accumulated pus, but should be avoided during acute episodes. Fourth, avoid alcohol and caffeine, and refrain from prolonged sitting or riding. For patients with localized prostate cancer, radical resection surgery or radiation therapy is recommended for those under 70 years of age; those over 75 years of age often opt for radiation or hormone therapy.

Complications of radical surgery include urinary incontinence and sexual dysfunction. Radiation therapy is a good option for those who do not wish to undergo surgery, with a 10-year survival rate similar to that of surgery. Because prostate growth depends on androgens, hormone therapy is clinically administered through surgical removal of the testicles or medical castration. Hormone therapy can shrink the tumor and assist in subsequent surgery. Although prostate cancer progresses slowly, the final trade-off between survival, health, and quality of life must be fully discussed with the doctor when choosing a treatment method.