Patient's question:
Diagnosed with some diseases, but after several treatments, it hasn't improved! What should I do! Will it worsen over time, or could it progress to cancer?First follow-up question: If as the doctor said, "Your health, my happiness," then the time may not have been too long! Now, there's this 'microwave therapy' for the prostate, but I don't know how effective it is.
I'm still in school right now, and I don't know how it would be if I delay it for a while. As I see it, it's not that serious—it's just occasional pain, but not very severe! What I mean is, if I delay it further, will it worsen?
Doctor's answer:
Hello: There is no problem as long as the treatment is active!1. General Treatment: Boost confidence, eliminate mental concerns, moderate sexual desire, but avoid forced abstinence. Avoid alcohol and stimulating foods. Take warm water (sitz bath) once a night, local physiotherapy, and modify obvious lifestyle triggers, such as avoiding long-distance cycling.
2. Prostate Massage: Regular prostate massage can promote the discharge of prostatic inflammatory 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 urethral stenosis or obstruction, regular dilation facilitates excretion. Additionally, when the probe passes through the urethra, it can stretch the prostate opening, promoting glandular drainage.
5. Prostatic Perineural Block: Gentamicin 80,000 units plus 1% novocaine 1–2 mL, once a day, with 7–10 sessions per course. Alternatively, penicillin 800,000 units, streptomycin 0.5 g, plus 1% novocaine 2–4 mL, once every 1–2 days.
6. Antibacterial Drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the difficulty 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 include:
Trimethoprim-Sulfamethoxazole 1.0 g twice daily