Patient's question:
I have chronic prostatitis. I've read some materials, and they all advise patients to restrain sexual desires, of course to avoid penile erection causing congestion of the prostate. But I'm 28 years old now, and I have morning erections every morning. Is this affecting my prostatitis? If it is, what should I do? -- I've seen some reports saying that not ejaculating after an erection is more harmful than ejaculating after an erection.Doctor's answer:
Hello, morning erections are a normal phenomenon, so there's no need to worry excessively. Treatment for chronic prostatitis: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 physical therapy, and modify obvious lifestyle triggers, such as avoiding long periods of cycling.
2. Prostate massage: Regular prostate massage can promote the discharge of prostatitic secretions. Perform this once a week, and concurrently 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 this once a week.
4. Urethral dilation: For patients with urethral stricture or obstruction, regular dilation facilitates excretion. Additionally, as the probe passes through the urethra, it can stretch the prostate opening, promoting better glandular drainage.
5. Prostate perineural block: Inject 80,000 units of gentamicin mixed with 1% novocaine (1–2 mL) once a day, with 7–10 sessions constituting one course. Alternatively, inject 800,000 units of penicillin, 0.5 g of streptomycin, and 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 in clinical practice include: