Patient's question:
Medical Description:Gender: Male
Age: 25
Medical History: None
Medical Description:
Two days ago, I went to the hospital for a check-up and the results were as follows:
Urethral discharge test: Chlamydia trachomatis positive.
Prostatic fluid routine test: Sphingolipid bodies 1+, reference is 34+. White blood cells +++, reference is 0-5. Pus cells 4-6, reference is 0-1.
Color Doppler ultrasound: Prostate size 4.03.23.3, outer margin irregular, internal echo non-uniform, prostate weight approximately: 23.1 grams.
After the examination, the doctor prescribed the following treatment:
Intravenous infusion (Levofloxacin Injection (PP plastic bottle), Cefoperazone Sodium/Sulbactam Sodium, 0.9% Sodium Chloride,
Doctor's answer:
Analysis of the Condition: Hello, if the test results are correct, you have prostatitis caused by chlamydia infection. Leukocytes+++ indicate that there is an infection, leading to leukocyte aggregation to kill the pathogens. Sphingomyelin bodies 1+ suggest that the pathogens have multiplied and reproduced, consuming a large amount of sphingomyelin. Prostate ultrasound shows that you may also have prostatitis.Recommendations:
1. The diagnosis of prostatitis requires obtaining prostatic fluid for a routine examination and a prostate ultrasound to confirm the diagnosis. You also have chlamydia infection, so it is likely that the prostatitis is caused by a mixed bacterial infection with chlamydia.
2. It is recommended to go to a formal public hospital for retesting and confirmation. The nuclear field effect is not very effective—it is only an auxiliary therapeutic method, as it cannot truly kill the pathogens. It is also very expensive and is sometimes used by private hospitals and unscrupulous doctors to generate revenue. It is not recommended for use.
3. Prostatitis is not easy to treat. The reason why prostatitis is difficult to cure is that the prostate is covered by a tough lipid membrane, making it difficult for most drugs to enter and take effect. It is recommended to obtain prostatic fluid for bacterial culture and drug sensitivity testing. Then, choose highly sensitive drugs for intravenous drip or direct administration through the prostate duct for better results (this primarily involves ablation and fusion therapy).