Patient's question:
Patient Gender: nanCurrent General Condition: Sexual dysfunction
Medical History: Urethritis
Previous Diagnosis and Treatment History and Effect: Mild prostatitis, antibiotics, not fully resolved
Auxiliary Examinations: Prostatic fluid, not strict
Others: Is Traditional Chinese Medicine feasible? What is the best prevention?
Doctor's answer:
Hello, Treatment of Prostatitis:1. General Treatment: Boost confidence, eliminate mental 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 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 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, as the probe passes through the urethra, it can stretch the prostate opening, improving glandular drainage.
5. Prostate Periurethral Blockade:
6. Antibacterial Drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the challenges in clinical treatment. Two to three types can be used in combination, or selective application can be based on bacterial culture results and drug sensitivity tests of prostatic fluid.
7. Traditional Chinese Medicine (TCM) Treatment: Apply syndrome differentiation and treatment principles of TCM.