Patient's question:
Detailed medical condition and consultation purpose: I have been ill for 3 years, I no longer drink alcohol, and I am asking about dietary precautions.Duration and frequency of the current illness:
Current general condition: 3-4 episodes per year.
Medical history:
Previous diagnoses and treatment history and outcomes: WBC 3-5/HP, RBC 1-2/HP, lecithin (+), treatment was not effective.
Doctor's answer:
Hello: Based on your condition, it is still necessary to actively use medication for treatment.1. General Treatment: Boost confidence, eliminate mental concerns, and moderate sexual desires, but avoid forced abstinence. It is advisable to abstain from alcohol and stimulating foods. Take warm sitz baths once a night, undergo local physiotherapy, and modify obvious lifestyle triggers, such as avoiding prolonged cycling.
2. Prostate Massage: Regular prostate massage can promote the discharge of prostatic inflammatory secretions. Perform this once a week, and concurrently, conduct routine prostatic fluid tests to evaluate treatment effectiveness.
3. Drug Infusion: Insert a specially designed balloon catheter through the urethra, inject sterile physiological saline into the prostatic urethra, and aspirate several times to remove purulent secretions. Then, inject antibiotics. This should be done once a week.
4. Urethral Dilation: For patients with urethral stricture or obstruction, regular dilation facilitates excretion. Additionally, when the probe passes through the urethra, it can stretch the prostate opening, promoting better glandular drainage.
5. Prostatic Periurethral Blockade: Gentamicin 80,000 units plus 1% novocaine 1–2 mL, once a day, with 7–10 sessions constituting one course. Alternatively, penicillin 800,000 units, streptomycin 0.5 g, plus 1% novocaine 2–4 mL, once every 1–2 weeks.
6. Antibacterial Agents: General antibacterial agents are difficult to penetrate prostate tissue, which is one of the reasons for the challenges in clinical treatment. An ideal antibacterial agent should meet three conditions: ① Lipophilic alkaline drugs; ② Low binding to plasma proteins; ③ High dissociation degree. Currently, commonly used agents include:
Compound sulfamethoxazole 1.