Chronic prostatitis caused by CT infection

Patient's question:

Detailed medical condition and consultation purpose: Prostatitis caused by CT infection
Duration of this illness and persistence: More than half a year
Current general condition: Difficulty urinating, discomfort in the perineum
Doctor: The tests I have taken, including CT and UU, have turned negative after several follow-ups. However, the prostate still shows inflammation, with symptoms fluctuating between severe and mild. It has been almost half a year now. The CT and UU tests taken the other day were both negative. Could you please advise what medication I should take? Thank you very much!
Additional question: I would like to ask the doctor, what medication is suitable for chronic prostatitis? Please provide clear guidance.

Doctor's answer:

Hello, the treatment for prostatitis is as follows.
1. Treatment for Acute Prostatitis:
Patients should rest in bed, drink plenty of water, and take measures to relieve constipation. For severe bladder irritation symptoms, analgesics and antispasmodic drugs, as well as hot Sitz baths, can be administered to alleviate symptoms. Antibiotics that can be used include penicillin, amoxicillin, cephalexin, and Cefixime.
After general symptomatic treatment and anti-inflammatory therapy, symptoms of acute prostatitis usually subside within 1–2 weeks. If symptoms do not improve or worsen, digital rectal examination reveals more swelling and fluctuation in the prostate, and ultrasound examination shows the formation of an abscess, perineal puncture to drain pus should be performed through the perineum.
2. Treatment for Chronic Prostatitis:
1. General Treatment:
- Boost confidence and eliminate psychological concerns.
- Moderately restrict sexual activity but avoid forced abstinence.
- Avoid alcohol and irritating foods.
- Take hot Sitz baths once daily.
- Undergo local physical therapy.
- Modify obvious lifestyle triggers, such as avoiding prolonged bicycle riding.
2. Prostate Massage:
- Regular prostate massage can promote the discharge of prostatitic secretions. Perform once weekly, and simultaneously conduct routine prostatic fluid tests to evaluate treatment effectiveness.
3. Drug Infusion:
- Insert a specially designed balloon catheter through the urethra and inject sterile normal saline into the prostatic urethra, followed by several suction cycles to remove purulent secretions. Then, inject antibiotics. Perform once weekly.
4. Urethral Dilation:
- For patients with urethral stricture or obstruction, regular urethral dilation facilitates excretion. Additionally, as the probe passes through the urethra, it can stretch the prostate orifice, promoting better glandular drainage.
5. Prosta