Patient's question:
Detailed medical condition and consultation purpose: Abdominal pain accompanied by swelling.Duration and course of the current illness: 2 years
Previous diagnoses, treatments, and outcomes: Anti-inflammatory treatment, oral Lengbisu capsules and Natax tablets
Doctor's answer:
Hello, Treatment of Chronic Prostatitis:1. General Treatment: Boost confidence, eliminate psychological concerns, moderate sexual desire, but avoid forced abstinence. Avoid alcohol and irritating foods. Take warm 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. Perform once a week, and simultaneously conduct routine prostatic fluid tests to evaluate treatment effectiveness.
3. Drug Infusion: Insert a specially designed balloon catheter through the urethra, inject sterile saline into the prostatic urethra, and aspirate several times to remove purulent secretions. Then, inject antibiotics. Perform once a week.
4. Urethral Dilation: For patients with urethral stricture or obstruction, regular dilation facilitates excretion. Additionally, when a probe passes through the urethra, it can stretch the prostate opening, promoting glandular drainage.
5. Prostate Periurethral Blockade:
6. Antibacterial Drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the difficulty in clinical treatment. Two to three drugs can be combined, or selective use can be based on bacterial culture and drug sensitivity test results of prostatic fluid.
7. Traditional Chinese Medicine (TCM) Treatment:
Adopt specific treatment measures under the guidance of a doctor.
Attention for Prostatitis Patients in Daily Life:
(1) Patients should maintain a positive attitude, eliminate unnecessary psychological concerns, and avoid misinterpreting certain symptoms.