Patient's question:
I got married last year, and recently I've been feeling weak in my sexual performance. Additionally, when I go to the bathroom, I've noticed that my urine is cloudy, and there's some slight pain at the urethral opening. The check-up suggested it might be prostatitis, and I'm really worried because I haven't had children yet. Could you please tell me how granulomatous prostatitis is acquired?Doctor's answer:
Treatment includes medication, local physical therapy, and surgery, among others. Depending on the cause, drugs such as antibiotics, antihistamines, antitubercular drugs, corticosteroids, and immunosuppressants may be used. For local or systemic infectious symptoms and granulomatous prostatitis secondary to specific infections, anti-infective treatment is required, with a course typically lasting 2 to 4 weeks. For patients with asthma or allergies, antihistamines and symptomatic treatment should also be combined. Surgery is generally not necessary unless there is severe urinary obstruction. Most cases of granulomatous prostatitis can spontaneously resolve without special treatment, so if symptoms are mild or absent, no treatment is needed, and only close follow-up is required. Approximately 2/3 of patients will still have nodules in the prostate after several years.