What to do about prostatitis and impotence?

Patient's question:

All symptoms Hello, doctor: I am 25 years old. When I was 18, I was ignorant and had an infrequent history of masturbation for over seven years. It was like being addicted to drugs. Now I am very scared. I also have frequent urination, a weak stream, and a very small penis. It is short and cannot get erect. Sometimes, I have premature ejaculation with a light yellow discharge. I have never had sex with a woman. I avoid the topic of sex whenever it comes up. On August 11, 2010, I went to the urology department and saw Dr. Fan in the consultation room. He told him about my condition. The results from the next day showed that I needed a prostatic fluid test. The results were as follows: Color: Clear, Sphingolipid bodies: ++, WBC: 0-2, HPPC: H, RBC: H, Prostatic granular cells: H, Amyloid bodies: H, HPEPS: Normal size.

Doctor's answer:

The prostate is covered by a lipid capsule, forming a blood-prostate barrier, making it difficult for most drugs to penetrate directly. Therefore, the therapeutic effects of medication alone are generally not ideal.
Treatment: Currently, there are several treatment methods for prostate diseases, including prostate irrigation, microwave therapy, extracorporeal shortwave therapy, interventional ablation, field effect ablation, and more. Clinically, field effect ablation combined with traditional Chinese and Western medicine is often used. The specific treatment should be determined based on your condition.
Note:
- Drink plenty of water, about 2,000 milliliters per day.
- Minimize smoking and alcohol consumption. Avoid spicy and irritating foods as well.
- Avoid prolonged sitting.
- Practice moderation in sexual activity—neither too frequent nor complete abstinence. Aim for 1–2 times per week.
- Engage in appropriate physical exercise.

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