Patient's question:
My ultrasound report for the prostate states that I have `prostate enlargement, approximately 4.7×3.1×2.8.The ultrasound suggests inflammatory changes in the prostate. Could you please tell me if my prostate condition is severe?
The prostate test results are as follows:
Lipid bodies: one plus sign,
White blood cells: one plus sign,
Staphylococcus aureus: one plus sign,
Gram-negative rods: one plus sign,
Epithelial cells: one plus sign,
Other results are normal.
Doctor's answer:
Hello; Your condition is bacterial prostatitis! It is essential to actively treat it!1. General treatment: Boost confidence, eliminate mental worries, moderate sexual desire, but avoid forced abstinence. Avoid alcohol and stimulating 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 prostatitis secretions. Perform it once a week, 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, once a week.
4. Urethral dilation: For urethral stricture or obstruction, perform regular dilation to facilitate excretion. Additionally, when the probe passes through the urethra, it can stretch the prostate opening, 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 every 1–2 weeks.
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 in clinical practice include:
Compound sulfamethoxazole 1.0