Patient's question:

Hello doctor:
I have sweaty scrotum and premature ejaculation. What should I do? What medicine works quickly? Is it easy to treat prostatitis?

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 modify 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 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 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 orifice, promoting glandular drainage.
5. Prostate perineural block: Gentamicin 80,000 units plus 1% novocaine 1–2 mL, once a day, with 7–10 sessions constituting a course. Alternatively, penicillin 800,000 units, streptomycin 0.5 g, plus 1% novocaine 2–4 mL, once 1–2 times a week.
6. Antibacterial drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the clinical treatment challenges. Ideal antibacterial drugs must meet three conditions: ① lipid-soluble alkaline drugs; ② low binding to plasma proteins; ③ high dissociation. Currently, commonly used drugs include:
Compound sulfamethoxazole 1.0