Patient's question:
Hello:My husband has recently been diagnosed with prostatitis, which is caused by Staphylococcus aureus. I would like to ask if it can be effectively treated without antibiotics, through lifestyle adjustments and exercise methods, etc.? Will this condition affect sexual life and pregnancy? Is it contagious?
Doctor's answer:
Hello:1. Treatment of Acute Prostatitis:
Patients should receive general care, including bed rest, increased fluid intake, and bowel regulation. For severe bladder irritation symptoms, analgesics and spasmolytics, along with warm sitz baths, can be administered to relieve symptoms. Antibiotics such as penicillin, ampicillin, cefalexin, and Cefixime may be used.
After general symptomatic treatment and anti-inflammatory therapy, symptoms of acute prostatitis typically resolve within 1–2 weeks. If symptoms do not improve or worsen, digital rectal examination reveals more swelling and fluctuation in the prostate, ultrasound shows abscess formation, and purulent fluid is aspirated via perineal puncture, drainage of the abscess through a perineal incision should be performed.
2. Treatment of Chronic Prostatitis:
1. General Treatment:
- Boost confidence and eliminate psychological concerns.
- Moderately restrict sexual activity but avoid forced abstinence.
- Avoid alcohol and irritating foods.
- Take warm sitz baths once daily.
- Undergo local physical therapy.
- Modify obvious lifestyle triggers, such as avoiding prolonged cycling.
2. Prostate Massage:
- Regular prostate massage can promote the discharge of prostatitic secretions. Perform once weekly, and concurrently, a routine examination of prostatic fluid can be conducted to evaluate treatment effectiveness.
3. Drug Infusion:
- Insert a specially designed balloon catheter through the urethra and inject sterile physiological saline into the prostatic urethra, followed by several suction cycles to remove purulent secretions. Then, inject antibiotics. Perform once weekly.
4. Urethral Dilation:
- For patients with urethral stricture or obstruction, regular dilation can facilitate excretion. Additionally, when a probe is passed through the urethra, it can stretch the prostate opening.