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 prostatic 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). For those who are about to form pus, add Astragalus, Carapace of Tridacna, and Spinosum Fruit to invigorate qi and expel toxins and pus. If pus has already formed but is thin and watery, remove Carapace of Tridacna and Spinosum Fruit, increase the amount of Astragalus, and appropriately add Deer Horn Glue to warm and tonify blood vessels. For those who experience pain when pus is expelled, add Frankincense and Licorice to dispel blood stasis and relieve pain, as well as expel toxins and pus.
If conservative treatment is ineffective, pus should be removed as soon as possible. Pus can be drained through the perineum, rectum, or urethra, and antibiotics can be injected simultaneously. If symptoms do not improve after puncture drainage or worsen progressively, incision and drainage can be performed through the same route.