Patient's question:
38 years old, 5 months ago, accidentally contracted bacterial prostatitis. Current symptoms include left testicular swelling and pain, discomfort in the perineum and groin area, a sensation of damp scrotum. Received antibiotics such as Azithromycin and Ciprofloxacin for 21 days, took Gentamicin and Prostamol Capsules. Currently taking Prostamol Capsules, honeysuckle suppositories, Yanran, and Meirini. Seeking expert advice on effective treatment. Thank you.Doctor's answer:
Hello: Treatment of Acute Bacterial Prostatitis:Rest in bed, intravenous fluids to replenish calories and drink plenty of water, pain relief, spasm relief, and fever reduction. If there is difficulty urinating, avoid urethral catheterization as much as possible; if necessary, perform suprapubic tube drainage.
Antibiotics: Trimethoprim and sulfamethoxazole 800mg, taken twice daily. Alternatively, you can choose one main drug from erythromycin, cephalosporin, tobramycin, ampicillin, or sulfonamide drugs. If the culture is identified as a Gram-negative bacterial infection, the main drug should be one of the sulfonamide drugs. For Gram-positive bacteria, the main drug should be ampicillin, administered intramuscularly at 2g per dose, four times daily. If there is anaerobic bacterial infection, metronidazole should be used. A course of treatment should last at least 7 days and can be extended to 14 days.