Patient's question:
Does cold sitz bath help with prostatitis? I've heard about warm sitz bath for treating prostatitis, but my doctor said cold water is better than hot water.Doctor's answer:
Hello: Not very clear about physical therapy!1. General treatment: Boost confidence, eliminate mental worries, moderate sexual desire, but avoid forced abstinence. Avoid alcohol and stimulating foods. Hot sitz baths once a night, local therapy, and modify obvious lifestyle triggers, such as avoiding long bike rides.
2. Prostate massage: Regular prostate massage can promote the discharge of prostatic inflammatory secretions. Perform once a week, and simultaneously conduct routine prostatic fluid tests to evaluate treatment effectiveness.
3. Drug irrigation: 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 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 prostatic orifice, promoting glandular drainage.
5. Prostatic perineural block: Gentamicin 80,000 units plus 1% novocaine 1–2 mL, once a day, with 7–10 sessions per course. Alternatively, penicillin 800,000 units, streptomycin 0.5 g, plus 1% novocaine 2–4 mL, once or twice a week.
6. Antibacterial drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the difficulty in clinical treatment. An ideal antibacterial drug should meet three conditions: ① Lipophilic alkaline drugs; ② Low binding to plasma proteins; ③ High dissociation degree. Currently, commonly used drugs include:
Compound sulfamethoxazole 1.0 g twice a day
Streptomycin