Patient's question:
Prostatic fluid microscopic examination shows a decrease in leukocytes and lecithin corpuscles, bacterial culture indicates the presence of bacteria. 36 years old. Frequent urination, urgent urination, decreased sexual ability, wife is not satisfied.Doctor's answer:
Hello: Chronic bacterial prostatitis is commonly characterized by symptoms such as frequent urination, urinary urgency, and dysuria, along with discomfort, heaviness in the perineum, lower abdomen, scrotum, inner thighs, and lower back. Urine may contain white, viscous fluid, and sometimes painful ejaculation may occur, accompanied by reduced sexual function. During rectal examination, the prostate may feel soft and round, with an uneven surface and mild tenderness. Diagnosis involves examining prostatic fluid under a microscope, which reveals thick white blood cells and macrophages, a reduction in lecithin corpuscles, and persistent bacterial growth in culture. Treatment includes:- Drinking plenty of water, avoiding spicy and irritating foods, abstaining from alcohol, and preventing prolonged sitting or long-distance cycling;
- Prostatic massage, performed for 10 minutes once a week;
- Options for medication include co-trimoxazole () or erythromycin;
- Hot sitz baths and local cold compresses.