Patient's question:
Detailed medical condition and consultation purpose: Frequent urination, urinary urgency, incomplete urination, lower back pain, and mild left lower abdominal pain.Medical history: First had prostatitis, then developed kidney stones.
Previous diagnoses, treatments, and outcomes: Ultrasound revealed small kidney stones, but prostatitis was not detected. Urinalysis showed: Leukocytes (BLD): +10, Red Blood Cells (RBC): WL, pH: 6.5, Specific Gravity (SG): 1.010. Prostatic fluid examination results: (Test item: EPS, Test purpose: R+) - Transparent, visible granular lecithin corpuscles: +1/HP, White Blood Cells (WBC): >30 (other findings were normal).
Doctor's answer:
Hello: The current situation requires active treatment of prostatitis!Treatment for bacterial prostatitis:
Bed rest, intravenous fluids to replenish calories and drink plenty of water, pain relief, spasm relief, and fever reduction. If there is difficulty urinating, avoid urethral catheterization as much as possible; if necessary, perform suprapubic tube drainage.
Antibiotics: Trimethoprim and sulfamethoxazole 800mg, taken twice daily. Alternatively, you can choose one main drug from erythromycin, cephalosporins, tobramycin, ampicillin, or sulfonamide drugs. If the culture is identified as Gram-negative bacterial infection, use the sulfonamide drugs mentioned above. For Gram-positive bacteria, use ampicillin, administered intramuscularly at 2g per dose, four times daily. If there is anaerobic bacterial infection, use metronidazole. A course of treatment should last at least 7 days and can be extended to 14 days.