Patient's question:

Doctor, hello:
I have damp scrotum and premature ejaculation. What should I do? What medicine works quickly? Is the prostate easy to treat?

Doctor's answer:

Hello: Your situation first requires active treatment of your prostatitis!
1. General treatment: Boost confidence, eliminate psychological concerns, moderate sexual desire, but avoid forced abstinence. Avoid alcohol and stimulating foods. Take warm water ( Sitz bath) once a night, local physiotherapy, and change obvious lifestyle triggers, such as avoiding long-distance cycling.
2. Prostate massage: Regular prostate massage can promote the discharge of prostatitis secretions. Perform once a week, and simultaneously conduct routine prostatic fluid tests to evaluate treatment effectiveness.
3. Drug irrigation: Insert a specially designed balloon catheter through the urethra, inject sterile normal saline into the prostatic urethra, and aspirate several times to remove purulent secretions. Then inject antibiotics. Perform once a week.
4. Urethral dilation: For urethral stenosis or obstruction, regular dilation facilitates excretion. Additionally, when the probe passes through the urethra, it can stretch the prostate opening, promoting glandular drainage.
5. Prostate perineural block: Gentamicin 80,000 units plus 1% novocaine 1–2 mL, once a day, for 7–10 sessions per course. Alternatively, penicillin 800,000 units, streptomycin 0.5 g, plus 1% novocaine 2–4 mL, once or twice a week.
6. Antibacterial drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the difficulty in clinical 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