For elderly men with prostatitis, medication should be taken under the guidance of a doctor. Usually, the medication is selected according to the type of inflammation, and lifestyle adjustments are made in conjunction to help relieve symptoms.

1. For bacterial infections: If tests confirm that the infection is caused by bacteria, doctors will often prescribe antibiotics, such as quinolones or macrolides. These should be taken for the full course of treatment and should not be stopped on one's own.

2. Relieve urinary discomfort: For symptoms such as frequent urination and difficulty urinating, medications such as alpha-blockers may be used to help relax the muscles of the prostate and bladder neck, thereby improving urination.
3. Managing pain and inflammation: If there is significant pain or swelling, doctors may sometimes recommend the use of nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce local inflammation and discomfort.
4. Combine with herbal preparations: Some plant extracts (such as Prolean tablets) can also be used as an adjunct under the guidance of a doctor, which may help improve urination symptoms in some patients.
In short, do not self-medicate. It is recommended to visit the urology department of a reputable hospital as soon as possible for examination to determine the cause and for the doctor to develop a personalized treatment plan. At the same time, paying attention to keeping warm, avoiding prolonged sitting, drinking adequate water, and eating less spicy food will all positively contribute to recovery.