Patient's question:
I have always been single and have been experiencing physical issues, including masturbation, as a habit. A few years ago, I was diagnosed with prostatitis, which has caused weak urination, intermittent incomplete urination, accompanied by fever, and sometimes abdominal pain.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 the condition. If pus is forming, add Astragalus membranaceus, Carapax Trionycis, and Spinae Ternatae to invigorate qi and expel pus. If pus has already formed but is thin and watery, remove Carapax Trionycis and Spinae Ternatae, increase the dosage of Astragalus membranaceus, and add ingredients like Cervi Cornu Gelatinum to warm and nourish blood vessels. If pus discharge is accompanied by pain, add Myrrh and Licorice to dispel blood stasis and relieve pain, while also expelling pus.
If conservative treatment is ineffective, the pus should be drained as soon as possible. Pus can be drained through the perineum, rectum, or urethra, with antibiotics injected simultaneously. If symptoms do not improve after drainage or worsen progressively, incision and drainage can be performed through the same route.