Patient's question:
My father is 60 years old this year, and he has been diagnosed with a prostatitis abscess.Doctor's answer:
The treatment of prostatitis abscess mainly includes conservative treatment and surgical treatment. Conservative treatment is similar to acute prostatitis. Antibiotics should be selected after pus culture and drug sensitivity tests to promote inflammation absorption and eliminate and control inflammation.Chinese medicine treatment can use Longdan Xiegan Decoction (modified). If there is a tendency to form pus, add Astragalus, Carapace of Tridacna, and Spinosum Prickly Ash to invigorate qi and expel toxins and pus. If pus has already formed but is thin and watery, remove Carapace of Tridacna and Spinosum Prickly Ash, increase the dosage of Astragalus, and add ingredients like Deer Horn Glue moderately to warm and tonify blood vessels. If pus discharge causes pain, add Frankincense and Licorice to dispel blood stasis and relieve pain, while also expelling toxins and pus.
If conservative treatment is ineffective, pus should be drained as soon as possible. Pus can be drained through the perineum, rectum, or urethra, and antibiotics should be injected simultaneously. If symptoms do not improve after puncture drainage or worsen progressively, incision and drainage can be performed through the same route.