Patient's question:
Frequency of urination, distending pain without medication almost disappears, recently taking medication. Erection hardness decreased.Doctor's answer:
(1) General treatment: Bed rest, large amounts of fluid intake or intravenous infusion, and enhanced systemic supportive therapy.(2) Antibiotics: Active use of effective antibiotics. Commonly selected include quinolones such as ciprofloxacin, ofloxacin, and levofloxacin (eszopiclone) 0.2g, intravenous infusion, 2–3 times/d; aminoglycosides such as amikacin and netilmicin 0.4g, intravenous infusion, 1 time/d. After acute inflammatory symptoms are controlled, oral medication can be switched to. The course of treatment should be maintained for 1 month.
(3) Other treatments: Analgesics and antipyretics can be selected, such as metamizole tablets (painkillers), acetaminophen (dispert), and acetaminophen (bufferin). For patients with urinary difficulties, α-adrenergic blockers can be used, such as naftopidil 25mg, terazosin 2mg, or tamsulosin (Harley) 0.2mg, oral, 1 time/d. For acute urinary retention, indwelling catheters should not be placed, and suprapubic bladder puncture and drainage should be performed instead. If a prostatic abscess occurs, incision and drainage should be conducted.