Patient's question:
I recently don't know what's going on, my lower body is very uncomfortable, and I'm not getting morning erections anymore. What are the treatments for prostatitis?Doctor's answer:
1. Traditional Treatment Methods: Due to the tough outer membrane covering the prostate, especially where blockages or calcifications have formed, blood circulation is poor. Oral or intravenous medications, including Western medicine, antibiotics, and plant-based Chinese herbal preparations, cannot penetrate the lipid membrane and barriers, leaving the root cause untreated. The pathogens within the root cause can repeatedly flare up, leading to chronic, untreatable conditions.2. Systemic Antibiotic Treatment: Systemic antibiotic treatment may be effective for early-stage prostatitis patients without blockages. However, for those with blockages or calcifications, as the medication cannot reach the prostate, it will be ineffective. Moreover, long-term use can lead to drug resistance, damage to the liver, kidneys, gastrointestinal function, and disrupt the microbiome, increasing the risk of endogenous infections.
3. Old-Style Intraprostatic Injection: The old-style intraprostatic injection method may help some stubborn prostatitis patients, but it requires high technical skill, is cumbersome to perform, causes significant discomfort to the patient, and risks damaging the prostate. It also has no effect on inflammation in the seminal vesicles, vas deferens, or epididymis.
4. Urethral Catheter Medication Infusion: Urethral catheter medication infusion may be effective for early-stage prostatitis patients without blockages. If the prostatic ducts and their openings into the posterior urethra are blocked, the medication cannot reach the glandular tissue, and it will not affect inflammation in the seminal vesicles, vas deferens, or epididymis.
5. Repeated Prostate Massage: Repeated prostate massage is highly beneficial in preventing duct blockages but has limited effect on patients with significant purulent plugs or calcifications. Since it cannot eliminate pathogens, it is only suitable for adjuvant treatment.
6. Single-Modality Physical Therapies (e.g., Microwave, Radiofrequency): These primarily utilize the heat generated by physical means to enhance blood circulation in the prostate tissue, accelerate metabolism, reduce inflammation, eliminate tissue edema, and relieve pelvic floor muscle spasms. Reports exist on using microwave, radiofrequency, or laser-based heat therapy via transurethral, transrectal, or perineal routes. While they provide temporary symptom relief, long-term follow-up data remains insufficient.