Patient's question:
Detailed medical condition and consultation purpose: Frequent urination and urgency. Pain in the lower testicles, discomfort when sitting for too long. Have taken a lot of Prostate Capsules but it doesn't help much. I would like to consult about what Chinese herbal medicine can treat this. Can you tell me the names of the important herbs? I am still a student now. Thank you, doctor.Duration of the current illness and persistence: Chronic. Long duration.
Current general condition: A while ago, the condition improved after treatment at the hospital. The doctor said Chinese herbal medicine should be used for supplementary treatment. I hope the doctor can provide some good names of Chinese herbal medicine.
Medical history: Chronic prostatitis.
Previous diagnoses and treatments:
Doctor's answer:
Hello: Treatment of Chronic Prostatitis:1. General Treatment: Boost confidence, eliminate psychological concerns, moderate sexual desire, but avoid forced abstinence. It is advisable to abstain from alcohol and irritating foods. Take warm water ( Sitz bath) once a night, local physical therapy, and modify obvious lifestyle triggers, such as avoiding long-distance cycling.
2. Prostate Massage: Regular prostate massage can promote the discharge of prostatitic secretions. Perform once a week, and simultaneously conduct routine prostatic fluid tests to evaluate treatment effectiveness.
3. Drug Infusion: 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 patients with urethral stenosis or obstruction, regular dilation facilitates excretion. Additionally, when a probe passes through the urethra, it can stretch the prostate orifice, promoting glandular drainage.
5. Prostate Perineural Block: Gentamicin 80,000 units plus 1% novocaine 1–2 mL, once a day, for 7–10 sessions as a 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 clinical challenges in 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 a day