Patient's question:
Male, 33 years old, during the prime of life, had excessive sexual activity, suffering from prostatitis for many years. He has taken medication for treatment, but the effect has not been ideal. Currently, due to work reasons, he often works overtime, and recently he feels it has worsened again. What are the methods to prevent granulomatous prostatitis?Doctor's answer:
Treatment includes medications, local physical therapy, and surgery, among others. Depending on the underlying cause, drugs such as antibiotics, antihistamines, antitubercular agents, corticosteroids, and immunosuppressants may be used. For cases with local or systemic infectious symptoms and granulomatous prostatitis secondary to specific infections, anti-infective treatment is required, with a typical course lasting 2 to 4 weeks. For patients with asthma or allergies, additional antihistamines and symptomatic treatment are necessary. Surgery is generally not required unless there is severe urinary obstruction. The majority of granulomatous prostatitis cases can resolve spontaneously without specific treatment, so if symptoms are mild or absent, no treatment is needed, and only close follow-up is required.