Patient's question:
Doctor Teacher:Hello! I am writing to you with great urgency. Before 2003, I had a strong libido and excellent sexual function. I used to have sex almost every day, with a maximum of three times in one night. However, at the end of 2003, I noticed that my libido strangely disappeared, becoming indifferent. Sometimes, I wouldn’t think about sex for a month or two, and occasionally, I couldn’t get an erection. Other times, I could get an erection, but it wasn’t firm.
My main symptoms are as follows:
1. Indifferent libido, poor sexual function, sometimes no erection, or an erection that isn’t firm.
2. Clear and long urination, damp scrotum, cold hands and feet, aversion to cold.
3. White, greasy, and thick tongue coating, a swollen tongue, red tongue, and good appetite.
Doctor's answer:
Hello: Your condition should be classified as symptoms of prostatitis according to Western medicine. Therefore, it is recommended to actively go to the hospital for a prostatic fluid examination to determine the specific treatment and medication.1. General Treatment: Boost confidence, eliminate psychological concerns, moderate sexual desire, but avoid forced abstinence. Avoid alcohol and irritating foods. Take warm sitz baths once a night, undergo local physiotherapy, 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 this once a week, and simultaneously conduct routine prostatic fluid tests to evaluate the 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 this once a week.
4. Urethral Dilation: For patients with urethral stenosis or obstruction, regular urethral dilation facilitates excretion. Additionally, when the probe passes through the urethra, it can stretch the prostate opening, promoting better glandular drainage.
5. Prostate Periurethral Blockade: Gentamicin 80,000 units plus 1% novocaine 1–2 mL, administered once daily, with 7–10 sessions constituting one course. Alternatively, penicillin 800,000 units, streptomycin 0.5 g, plus 1% novocaine 2–4 mL, administered 1–2 times 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 must meet three conditions: ① Lipophilic alkaline drugs