Patient's question:
I have mild prostatitis. Is normal masturbation allowed? For a prostatic fluid examination, the presence of lipid bodies, white blood cells, and the main clinical symptom is frequent urination. What medication would be better to take?Doctor's answer:
Hello: It is essential to actively abstain from masturbation!1. General Treatment: Boost confidence, eliminate mental concerns, moderate sexual desires, but avoid forced abstinence. Avoid alcohol and stimulating foods. Take warm sitz baths once daily, undergo 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 this once weekly, along with 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. Repeat this once weekly.
4. Urethral Dilation: For urethral stricture or obstruction, regular dilation facilitates excretion. Additionally, as the probe passes through the urethra, it can stretch the prostate opening, promoting glandular drainage.
5. Prostatic Periurethral Blockade: Gentamicin 80,000 units plus 1% novocaine 1–2 mL, administered once daily, with 7–10 sessions per course. Alternatively, penicillin 800,000 units, streptomycin 0.5 g, plus 1% novocaine 2–4 mL, administered 1–2 times weekly.
6. Antibacterial Agents: General antibacterial agents are difficult to penetrate prostate tissue, which is one of the reasons for the challenges in clinical treatment. Ideal antibacterial agents should meet three conditions: ① lipid-soluble alkaline drugs; ② minimal binding to plasma proteins; ③ high dissociation. Currently, commonly used agents include:
Trimethoprim-Sulfamethoxazole 1.0 g twice daily