Patient's question:
Detailed medical condition and purpose of consultation: To relieve the patient's sufferingDuration and persistence of the current illness: Recurrent pain in the lower back, lower abdomen, and scrotum for over a year.
Current general condition: After seeking medical help from multiple places, the patient has undergone prostatic therapy, intravenous administration of various antibiotics, and oral Chinese herbal medicine treatments, with unsatisfactory results.
Doctor's answer:
Hello, Treatment of Chronic Prostatitis:1. General Treatment:
- Boost confidence and eliminate psychological concerns.
- Moderately restrain sexual desire, but avoid forced abstinence.
- Avoid alcohol and irritating foods.
- Take warm sitz baths once a night.
- Local physical therapy.
- Modify obvious lifestyle triggers, such as avoiding long-distance cycling.
2. Prostate Massage:
- Regular prostate massage can promote the discharge of prostatitic secretions.
- Perform once a week, along with routine prostatic fluid examination 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. Perform once a week.
4. Urethral Dilation:
- For patients with urethral stricture or obstruction, regular dilation aids in excretion.
- During the process, the probe can stretch the prostate orifice, facilitating glandular drainage.
5. Prostate Periurethral Blockade:
6. Antibacterial Drugs:
- General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the clinical treatment challenges.
- Combine 2–3 types of drugs or select them based on bacterial culture and drug sensitivity test results of prostatic fluid.
7. Traditional Chinese Medicine (TCM) Treatment Based on Syndrome Differentiation.