Patient's question:
I'm only in my early twenties this year, yet I've developed prostatitis, and the test results showed three positives, indicating it's quite serious. During that time, I had to receive intravenous saline treatment and take medication, spending nearly 2,000 yuan. I was working away from home, and it really pained me. Later, the doctor prescribed Huangbai capsules and erythromycin enteric-coated tablets, which I took for about half a month, but there was no significant improvement. Over the past few days, I've been feeling even more uncomfortable, with a lingering pain. I really don't know what to do. I've heard that this condition is very difficult to treat, so I'd like to ask for advice from everyone—what are some good ways and methods to cure it? Thinking about how young I still am, I really don't want this disease to affect me.Doctor's answer:
Hello, Treatment:1. General Treatment: Boost confidence, eliminate mental concerns, moderate sexual desire, but avoid forced abstinence. It is advisable to abstain from alcohol and stimulating foods. Hot water ( Sitz bath ) once daily, local therapy, and modify obvious lifestyle triggers such as avoiding prolonged cycling.
2. Prostate Massage: Regular prostate massage can promote the discharge of prostatic inflammatory secretions. Perform once weekly, and simultaneously conduct routine prostatic fluid tests to evaluate treatment effectiveness.
3. Drug Infusion: 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. Perform once weekly.
4. Urethral Dilation: For patients with urethral stricture or obstruction, regular dilation facilitates excretion. Additionally, when a probe passes through the urethra, it can stretch the prostate opening, promoting better glandular drainage.
5. Prostate Periurethral Blockade:
6. Antibacterial Drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the clinical challenges in treatment. Two to three drugs can be combined, or selective use can be based on bacterial culture and drug sensitivity test results of prostatic fluid.
7. Traditional Chinese Medicine (TCM) Treatment:
It is recommended to adopt specific treatment measures under the guidance of a doctor.