Patient's question:
Is slow enuresis an incurable disease? If it can be treated, how should it be treated?Doctor's answer:
Hello: The following information is for reference:Treatment of Chronic Prostatitis:
1. General Treatment:
- Boost confidence, eliminate psychological concerns, moderate sexual activity, but avoid forced abstinence.
- Avoid alcohol and irritating foods. Take warm water (sitz bath) once daily. Local physical therapy should be applied. 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, along with routine prostatic fluid examination to evaluate treatment effectiveness.
3. Drug Infusion:
- Insert a specially designed balloon catheter through the urethra, inject sterile normal saline into the prostatic urethra, and aspirate several times to remove purulent secretions. Then, inject antibiotics. Repeat weekly.
4. Urethral Dilation:
- For urethral stenosis or obstruction, regular dilation facilitates excretion. Additionally, as the probe passes through the urethra, it can stretch the prostate orifice, improving glandular drainage.
5. Prostate Periurethral Blockade:
- Gentamicin 80,000 units + 1% novocaine 1–2 mL, administered once daily, with 7–10 sessions per course. Alternatively, penicillin 800,000 units + streptomycin 0.5 g + 1% novocaine 2–4 mL, administered 1–2 times weekly.
6. Antibacterial Drugs:
- General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the clinical treatment challenges. Ideal antibacterial drugs 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, strong