Patient's question:
I recently got prostatitis. Please ask: What self-care should I do on a daily basis, how should it be treated, and what medication should I take?Doctor's answer:
Hello: Your condition is not prostatitis but prostatitis!1. General treatment: Boost confidence, eliminate psychological concerns, moderate sexual activity, but avoid forced abstinence. Avoid alcohol and stimulating foods. Take warm sitz baths once a night, undergo local therapy, and modify obvious lifestyle triggers, such as avoiding prolonged cycling.
2. Prostate massage: Regular prostate massage can promote the discharge of prostatitis secretions. Perform this once a week, and simultaneously conduct routine prostatic fluid tests to evaluate treatment effectiveness.
3. Drug instillation: 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 this once a week.
4. Urethral dilation: For urethral stenosis or obstruction, regular dilation facilitates excretion. Additionally, when a probe passes through the urethra, it can stretch the prostate opening, promoting glandular drainage.
5. Prostate perineural block: Inject 80,000 units of gentamicin and 1–2 mL of 1% novocaine once a day, with 7–10 sessions constituting a course. Alternatively, use 800,000 units of penicillin, 0.5 g of streptomycin, and 2–4 mL of 1% novocaine, once every 1–2 weeks.
6. Antibacterial drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the clinical challenges in treatment. An ideal antibacterial drug should meet three conditions: ① Lipophilic alkaline drugs; ② Low binding to plasma proteins; ③ High dissociation degree. Currently, commonly used drugs include:
Compound sulfamethoxazole 1.0 g daily.