Prostatitis, seminal vesiculitis, benign prostatic hyperplasia - what to do?

Patient's question:

Semen analysis revealed 4+ white blood cells, and it is also mentioned that there might be prostatic hyperplasia. Sometimes the seminal vesicle can be a bit painful. What kind of medicine should I buy?

Doctor's answer:

Please carefully check the prostatic fluid, which shows elevated white blood cells. However, it is also necessary to consider individual clinical symptoms. The change in urine alone does not necessarily indicate a recurrence of frequent urination, urgency, or dysuria, and it is important not to engage in indiscriminate treatment. Currently, you can start with a small dose of a quinolone-class medication, increase fluid intake, and closely monitor any changes in your urine. If white discharge is observed from the urethral opening without the occurrence of bowel movements, avoid unnecessary treatment for the time being. For patients with prostatitis, timely treatment can reduce the likelihood of recurrence. If treatment is delayed, it may affect overall health.

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