Patient's question:
I have been experiencing a weak stream of pale yellow fluid when urinating in the mornings for the past few days. I visited the hospital for a routine urinalysis and a prostatic fluid test. The urinalysis results were normal, but the prostatic fluid test results are as follows: color: grayish-white; white blood cells: ++; and lecithin corpuscles: ++. The report does not provide specific test values. The doctor said I might have prostatitis and ordered a bacterial culture, the results of which are not yet available. Could you please tell me if I have prostatitis, and are the two ++ levels serious?Doctor's answer:
Hello: Your condition is not very serious, but it is essential to actively treat it!1. General Treatment: Boost confidence, eliminate mental worries, moderate sexual desire, but avoid forced abstinence. Avoid alcohol and stimulating foods. Take warm sitz baths once a night, undergo local therapy, and modify obvious lifestyle triggers, such as avoiding prolonged cycling.
2. Prostate Massage: Regular prostate massage can promote the discharge of prostatic inflammatory secretions. Perform this once a week, along with 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 this 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 better glandular drainage.
5. Prostatic Perineural Block: Inject 80,000 units of gentamicin and 1% procaine (1–2 mL) once a day, with 7–10 sessions constituting a course. Alternatively, use 800,000 units of penicillin, 0.5 g of streptomycin, and 1% procaine (2–4 mL), administered 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 challenges 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 g daily