Patient's question:
AgeDetailed medical condition and consultation purpose: Hello! I would like to ask three questions: <1> Is a man's genital length of exactly 10 cm (in an erect state) considered normal? I often think that such a length is too short and feel very worried! I also have some feelings of inferiority! Please help me answer this. Thank you!
The second question is: Last year, when I had a check-up, I was diagnosed with prostatitis; (I also have a habit of masturbation) but after a week of treatment, I still feel the same as before. When standing, I don't feel any sexual desire, but when lying down, it's a bit better; please
Doctor's answer:
Hello:First: This is normal.
Second: Frequent masturbation may lead to prostatitis, which should be treated actively. Prostatitis can affect sexual function.
Third: Treatment for chronic prostatitis:
1. General treatment: Boost confidence, eliminate psychological concerns, moderate sexual desires, but avoid forced abstinence. Avoid alcohol and irritating foods. Take warm water (sitz bath) once daily, 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 inflammatory secretions. Perform this once weekly, 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 this once weekly.
4. Urethral dilation: For urethral stenosis or obstruction, regular dilation aids excretion. Additionally, when a probe passes through the urethra, it can stretch the prostate opening, facilitating glandular drainage.
5. Prostate perineural block: Gentamicin 80,000 units plus 1% novocaine 1–2 mL, administered once daily, with 7–10 sessions constituting a course. Alternatively, penicillin 800,000 units, streptomycin 0.5 g, plus 1% novocaine 2–4 mL, administered 1–2 times weekly.
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;