Patient's question:
Detailed medical condition and consultation purpose: Have been to the hospital before with a history of benign prostatic hyperplasia and prostatitis. Difficulty urinating, but medication hasn't helped. Wondering which hospital is better for this condition.Duration and persistence of the current illness: The illness has been going on for over a year.
Current general condition: Currently, urination is still a bit painful. Still taking medication to maintain. Difficulty urinating without medication.
Doctor's answer:
In treatment, once a clinical diagnosis or blood and urine culture results are obtained, antibiotics should be administered first. Initially, antibiotics are given intravenously, and once the patient's fever and other symptoms improve, oral medications can be used. For acute bacterial prostatitis with urinary retention, suprapubic bladder puncture and drainage or fine catheterization can be employed. If an abscess forms, options include transrectal ultrasound-guided fine-needle aspiration drainage, transurethral incision for prostatic abscess drainage, or perineal puncture drainage. Additionally, patients should abstain from alcohol, avoid spicy and irritating foods; avoid holding urine or sitting for long periods, pay attention to keeping warm, and enhance physical exercise. As long as medication and care are combined, prostatitis will improve quickly.