Patient's question:
Detailed medical condition and consultation purpose: Suffering from chronic prostatitis with right testicular pain and hard lumps, diagnosed with Staphylococcus aureus infection. Antibiotics used have shown strong resistance. Currently, there are no specific drugs for Staphylococcus aureus. How should the condition be treated correctly? Will it cause infertility? Can this disease still be cured? SOS!!Duration and course of the current illness:
Current general condition:
Medical history:
Previous diagnoses and treatment history and outcomes: Not very effective
Auxiliary tests:
Other:
Doctor's answer:
Hello: Based on your condition, it is recommended to conduct a drug sensitivity test and then determine the medication. Long-term untreated prostatitis and orchitis can have a certain impact on fertility.Treatment for Chronic Prostatitis:
1. General Treatment: Boost confidence, eliminate psychological concerns, moderate sexual desire, but avoid forced abstinence. It is advisable to abstain from alcohol and irritating foods. Take warm water (sitz bath) once a night, undergo local physiotherapy, and modify obvious lifestyle triggers, such as avoiding long-distance cycling.
2. Prostate Massage: Regular prostate massage can promote the discharge of prostatitic secretions. Perform this once a week, 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. This should be done once a week.
4. Urethral Dilation: For patients with urethral stricture or obstruction, regular dilation can facilitate excretion. Additionally, when a probe passes through the urethra, it can stretch the prostate orifice, promoting better glandular drainage.
5. Prostate Periurethral Blockade: Inject 80,000 units of gentamicin and 1% novocaine (1–2 mL) once a day, with 7–10 sessions constituting one course. Alternatively, inject 800,000 units of penicillin, 0.5 g of streptomycin, and 1% novocaine (2–4 mL) once every 1–2 days.
6. Antibacterial Drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the challenges in clinical treatment. An ideal antibacterial drug must meet three conditions: ① Lipophilic alkaline drugs; ②