Patient's question:
Bacterial prostatitis consultation from a patient in Hubei, with the illness lasting nearly 5 months. Initially, it started with pain in the glans penis, later spreading to the perineum. At first, it was not taken seriously, but after a month, pus cells were found in the semen. The patient went to the hospital, where the doctor diagnosed it as prostatitis. The patient was prescribed ofloxacin, Qingqing Qinglin capsules, and. After one month, there was no significant improvement in symptoms. Later, the patient went to a tertiary hospital for a prostatic fluid examination, which showed normal lecithin but 10-15 white blood cells. The doctor prescribed rulfoxacin, capsules, and wild chrysanthemum suppositories. This treatment lasted for two months. During this period, the patient received ofloxacin for 6 days and azithromycin for 7 days. Later, the patient went to Wuhan Union Hospital for a prostatic fluid examination, which showed ++ lecithin and ++ pus cells, as well as the color of the semen.Doctor's answer:
1. Prostate massage is one of the traditional treatments. Proper prostate massage can promote the emptying of the prostate ducts, increase local drug concentration, and alleviate symptoms of chronic prostatitis. Combining it with other treatments can effectively shorten the course of the disease.2. Biofeedback therapy Biofeedback combined with electrical stimulation can relax pelvic floor muscles, making them more coordinated, while also relaxing the external sphincter. This helps alleviate the perineal discomfort and urinary symptoms associated with chronic prostatitis.
3. Heat therapy Utilizing the heat effects produced by various physical methods, heat therapy can increase blood circulation in the prostate tissue, accelerate metabolism, and facilitate anti-inflammatory effects and the reduction of tissue edema. It also helps relieve pelvic floor muscle spasms. Methods include transurethral, transrectal, and perineal approaches.
4. Prostate injection therapy, transurethral prostatic irrigation therapy There is a lack of evidence-based medical research to confirm its efficacy and safety.
5. Surgical treatment Procedures such as transurethral bladder neck incision and transurethral resection of the prostate (TURP) are difficult to effectively treat chronic prostatitis. These surgeries are only chosen when there are surgical indications for related prostate diseases.