Patient's question:
How is acute prostatitis formed, what is prostatitis? What Chinese medicine is good for benign prostatic hyperplasia, what is prostatitis?Doctor's answer:
1. General treatment: Rest in bed for 3-4 days, drink appropriate amounts of water, and avoid alcohol and irritating foods. Warm Sitz baths or perineal heat applications can be performed, and bowel movements should be kept regular. Sexual activity is prohibited.2. Antibiotic treatment: When the patient has obvious systemic symptoms, a high fever, and significantly elevated white blood cell count, intravenous administration should be used. After 1 week, oral medication should be switched to continue for 1 month. If the patient has mild systemic symptoms and normal temperature and blood tests, oral medication can be used, with a typical course of 1 month. Effective and rapidly diffusing anti-infective drugs that can penetrate the prostate should be selected to quickly control symptoms and prevent the condition from becoming chronic prostatitis.
3. Comprehensive treatment: The unique position and structure of the prostate make simple drug therapy ineffective. Its outer lipid membrane acts as a barrier, making it difficult for most drugs to reach the local area and achieve therapeutic effects. Even after passing through multiple barriers to reach the affected site, the drug's efficacy is significantly reduced, resulting in extremely slow and low-effective outcomes. Clinically, these methods can only provide partial improvement, so we recommend comprehensive treatment measures. This includes taking sufficient antibiotics orally for anti-inflammatory and antibacterial treatment.
4. Symptomatic treatment: If high fever occurs, antipyretic drugs such as indomethacin suppositories or aspirin should be administered. If bladder irritation symptoms are severe, the following can be used: Probenecid 15-30mg orally, three times daily; Prazosin 2mg orally, twice daily. If urinary difficulties or retention occur, temporary suprapubic cystostomy should be performed to drain urine, or fine, soft silicone catheters can be used for indwelling catheterization.
5. Surgical treatment: If acute prostatitis has developed into a prostatic abscess, drainage surgery should be performed through the rectum or perineum. If the abscess is confined to the prostate, transurethral resection can be used for abscess drainage, followed by the injection of broad-spectrum antibiotics.