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 a slight burning sensation at the urethral opening. The examination suggested it might be prostatitis, and I'm really worried because I haven't had children yet. Could you please tell me: How does granulomatous prostatitis occur?Doctor's answer:
Treatment includes medication, local physical therapy, and surgery, among others. Depending on the underlying cause, medications such as antibiotics, antihistamines, antitubercular drugs, 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 antihistamine and symptomatic treatment may be necessary. Surgery is generally not required unless there is severe urinary obstruction. The majority of cases of granulomatous prostatitis can resolve spontaneously without specific treatment, so if symptoms are mild or absent, no treatment is needed, and only close follow-up is required. Approximately two-thirds of patients will still have nodules in the prostate after several years.