Patient's question:
How should chronic prostatitis in middle-aged men be treated? I'm 45 years old.Doctor's answer:
Hello, chronic prostatitis is a common condition in urology, most of which occurs in young and middle-aged adults. The general treatment is as follows:1. Boost confidence, eliminate psychological concerns, and moderate sexual desire, but avoid forced abstinence. It is advisable to avoid alcohol and irritating foods. Take a hot bath once a night, undergo local physiotherapy, and modify obvious lifestyle triggers, such as avoiding long-distance cycling.
2. Prostate massage: Regular prostate massage can promote the discharge of prostatitic secretions. Perform this once a week, and simultaneously conduct routine prostatic fluid tests to evaluate the therapeutic effect.
3. Drug instillation: 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. Perform this once a week.
4. Urethral dilation: For patients with urethral stenosis or obstruction, regular dilation facilitates excretion. Additionally, when the probe passes through the urethra, it can stretch the prostate orifice, promoting better glandular drainage.
5. Prostate perineural blockage
6. Antibacterial drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the difficulty in clinical treatment. Two to three drugs can be used in combination, or selective application can be based on bacterial culture and drug sensitivity test results of prostatic fluid.
7. TCM and Chinese medicine treatment based on syndrome differentiation.