Patient's question:
I had a routine prostate fluid test, and the results showed: lecithin+++ and white blood cells++. The doctor said it's prostatitis, but I don't know which type it is. I have been taking traditional Chinese medicine and antibiotics, but the white blood cells are still present. What could be the reason? If I don't treat it, will I become a disabled person and lose my male functions?First follow-up question: Although I have prostatitis, the traditional Chinese medicine practitioner detected symptoms of yang deficiency in my pulse. Can I take some yang-tonifying herbs? For example, Shenbao (Kidney Treasure) or Jinkui Shenqi Wan (Golden Cabinet Shenqi Pill). Will taking these herbs have side effects on the treatment of prostatitis? I know that yang-boosting herbs should not be taken, right? Can I take warming herbs? Because I am currently
Doctor's answer:
Hello: Active treatment is not a problem.1. General treatment: Boost confidence, eliminate psychological concerns, moderate sexual desire, but avoid forced abstinence. Avoid alcohol and stimulating foods. Hot sitz baths once a night, local therapy, and modify obvious lifestyle triggers, such as avoiding long-distance cycling.
2. Prostate massage: Regular prostate massage can promote the discharge of prostatic inflammatory secretions. Perform once a week, and simultaneously conduct routine prostatic fluid tests to evaluate treatment effectiveness.
3. Drug instillation: Insert a specially designed balloon catheter through the urethra, inject sterile physiological saline into the prostatic urethra, and aspirate several times to remove purulent secretions. Then inject antibiotics. Perform once a week.
4. Urethral dilation: For urethral stricture or obstruction, regular dilation facilitates excretion. Additionally, when the probe passes through the urethra, it can stretch the prostate opening, promoting glandular drainage.
5. Prostatic perineural block: Gentamicin 80,000 units plus 1% novocaine 1–2 mL daily, for 7–10 sessions per course. Alternatively, penicillin 800,000 units, streptomycin 0.5 g, plus 1% novocaine 2–4 mL, once or twice a week.
6. Antibacterial drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the challenges in clinical treatment. An ideal antibacterial drug should meet three conditions: ① Lipophilic alkaline drugs; ② Low binding to plasma proteins; ③ High dissociation degree. Currently, commonly used drugs include:
Trimethoprim-sulfamethoxazole 1.0 g twice daily