Patient's question:
Detailed medical condition and consultation purpose: Checked for non-gonococcal chronic prostatitis, want to know effective treatment methods and medications.Doctor's answer:
Hello: Treatment of Chronic Prostatitis:1. General Treatment:
Enhance confidence, eliminate psychological concerns, moderate sexual desire, but avoid forced abstinence. Avoid alcohol and irritating foods. Take warm water sitz baths once daily, local physical therapy, and modify obvious lifestyle triggers, such as avoiding prolonged cycling.
2. Prostate Massage:
Regular prostate massage can promote the discharge of prostatitic secretions. Perform once weekly, and concurrently 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. Perform once weekly.
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 Periurethral Blockade:
Gentamicin 80,000 units plus 1% novocaine 1–2 mL, once daily, for 7–10 sessions per course. Alternatively, penicillin 800,000 units, streptomycin 0.5 g, plus 1% novocaine 2–4 mL, once or twice weekly.
6. Antibacterial Agents:
General antibacterial agents are difficult to penetrate prostate tissue, which is one reason for the clinical challenges in treatment. An ideal antibacterial agent must meet three conditions: ① Lipophilic alkaline drugs; ② Low binding to plasma proteins; ③ High dissociation. Currently, commonly used agents include:
Trimethoprim-sulfamethoxazole 1.0 g, twice daily