Patient's question:
Detailed medical condition and consultation purpose: Abdominal pain accompanied by swelling.Duration and course of the current illness: 2 years
Previous diagnoses, treatments, and outcomes: Anti-inflammatory treatment, oral Lengbisu capsules and Natax tablets
Doctor's answer:
Hello, treatment of chronic prostatitis:1. General treatment: Boost confidence, eliminate psychological concerns, moderate sexual desire, but avoid forced abstinence. It is advisable to abstain from alcohol and irritating foods. Take warm sitz baths once a night, undergo local physical therapy, and modify obvious lifestyle triggers, such as avoiding prolonged cycling.
2. Prostate massage: Regular prostate massage can promote the discharge of prostatitic secretions. Perform once a week, and simultaneously conduct routine prostatic fluid tests to evaluate treatment effectiveness.
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 once a week.
4. Urethral dilation: For patients with urethral stricture or obstruction, regular dilation facilitates excretion. Additionally, when a probe passes through the urethra, it can stretch the prostate orifice, promoting glandular drainage.
5. Prostate perineural block:
6. Antibacterial drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the clinical difficulty in treatment. Two to three types can be used in combination, or selective application can be based on bacterial culture and drug sensitivity test results of prostatic fluid.
7. Traditional Chinese Medicine (TCM) treatment based on syndrome differentiation.
Take specific treatment measures under the guidance of a doctor.
Prostatitis patients should pay attention to the following in daily life:
(1) Patients should maintain a positive attitude, eliminate unnecessary psychological concerns, and avoid misinterpreting certain symptoms.