Patient's question:
Incontinence, incomplete urination, thin urine stream, slight swelling and pain in the penis - what medication can be taken? The person can go for a medical consultation.Doctor's answer:
Hello:Acute prostatitis is considered. Acute prostatitis can be treated with sensitive antibiotics based on urine or prostatic fluid bacterial culture results. However, if bacterial culture results are not available promptly in the early stage of treatment or if conditions are not met, it is important to promptly use sufficient and highly effective broad-spectrum antimicrobial drugs to control the progression of the condition. Currently, cephalosporin antibiotics are commonly used. Clinically available options include Fosfomycin (1.5 grams per dose, twice daily, intravenously administered in 100 milliliters of liquid) or Cefalexin (2.0 grams per dose, twice daily, intravenously administered).
If these drugs are not suitable, a combination of sulfamethoxazole (SMZ) and trimethoprim (TMP) tablets, such as Trimethoprim-Sulfamethoxazole (Co-trimoxazole), can be used. This is the preferred oral medication because it achieves high concentrations in the prostate. Dosage: Take 2 tablets twice daily (each tablet contains 80 mg TMP and 400 mg SMZ). If the bacteria are sensitive to the medication and symptoms improve after treatment, continue for 30 days to prevent the condition from becoming chronic.
For patients who cannot take Trimethoprim-Sulfamethoxazole, Gentamicin (3–5 mg/kg/day) or Tobramycin (3 mg/kg/day) can be administered three times per day via intramuscular injection. Additionally, Ampicillin (1 gram) can be given intravenously every 6 hours for one week. Afterward, select medication based on bacterial culture and drug sensitivity tests. Once the condition improves, switch to oral medications such as Norfloxacin for continued treatment for 30 days.