Patient's question:
Patient Gender: What are the general symptoms of prostatitis? Sometimes my scrotum feels damp, what could be the reason? If I have prostatitis, how should it be treated? Additionally, what should I pay attention to in terms of sexual life?Doctor's answer:
Hello, clinical manifestations of acute prostatitis: onset is sudden, with systemic infection symptoms or sepsis manifestations, high fever, frequent urination, urgent urination, painful urination, urethral pain, pain in the perineum and suprapubic region, rectal fullness, difficulty defecating, and occasionally urinary retention may occur due to bladder neck edema and spasm, even urinary retention.Swollen scrotum is a symptom, and the most common cause of this symptom is prostatitis. Treatment:
1. Treatment for acute prostatitis:
Patients should rest in bed, drink more water, and take measures to relieve constipation. For severe bladder irritation symptoms, analgesics and hot sitz baths can be given to alleviate symptoms. Antibiotics such as penicillin, ampicillin, cephalexin, and Cefixime can be selected.
After general symptomatic treatment and anti-inflammatory therapy for acute prostatitis, symptoms usually subside within 1–2 weeks. If symptoms do not improve or worsen, digital rectal examination reveals more swelling and fluctuation, and ultrasound examination shows abscess formation, and pus is extracted through perineal puncture, abscess drainage should be performed through the perineum.
2. Treatment for chronic prostatitis:
1. General treatment: Boost confidence, eliminate psychological concerns, moderate sexual desire, but avoid forced abstinence. Avoid alcohol and irritating foods, take hot sitz baths once a night, local physical therapy, and modify obvious lifestyle triggers such as avoiding long-distance cycling.
2. Prostate massage: Regular prostate massage can promote the discharge of prostatitic secretions, once a week, and at the same time, routine tests of prostatic fluid can be conducted.