Patient's question:
I have prostatitis, with a high concentration of cells +, white blood cells 17-22, lecithin ++, pH=7, no red blood cells. I am taking Norfloxacin capsules and Sheninton. How long should I take them? Are the side effects of Norfloxacin capsules significant?Doctor's answer:
Hello: Based on your condition, it should be necessary to take medication for 1-2 weeks, and the specific duration will depend on the changes in symptoms.Treatment for Prostatitis:
1. General Treatment: Boost confidence, eliminate psychological concerns, moderate sexual activity, but avoid forced abstinence. It is advisable to abstain from alcohol and irritating foods. Take warm sitz baths once daily, undergo 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. Perform this once weekly, and it can also be combined with routine prostatic fluid testing to evaluate treatment effectiveness.
3. Drug Infusion: Insert a specially designed balloon catheter through the urethra, inject sterile normal saline into the prostatic urethra, and aspirate several times to remove purulent secretions. Then, inject antibiotics. This should be done once weekly.
4. Urethral Dilation: For patients with urethral stenosis or obstruction, regular dilation can facilitate excretion. Additionally, when a probe is passed through the urethra, it can stretch the prostate opening, promoting better glandular drainage.
5. Prostate Perineural Block: Inject 80,000 units of gentamicin mixed with 1% procaine (1-2 mL) once daily, with 7-10 sessions constituting one course. Alternatively, inject 800,000 units of penicillin, 0.5 g of streptomycin, and 1% procaine (2-4 mL) once or twice weekly.
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 affinity to plasma proteins; ③