Patient's question:
What medicine treats chronic prostatitisDoctor's answer:
Hello, there are many treatment methods for chronic prostatitis:1. General treatment: Boost confidence, eliminate mental concerns, moderate sexual desire, but avoid forced abstinence. Avoid alcohol and stimulating foods. Take warm water ( Sitz bath ) once a night, local physiotherapy, 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 it once a week, and simultaneously conduct routine prostatic fluid tests to evaluate treatment effectiveness.
3. Drug instillation: Insert a specially designed balloon catheter through the urethra, inject sterile physiological saline into the prostatic urethra, and aspirate several times to remove purulent secretions. Then, inject antibiotics. Perform this once a week.
4. Urethral dilation: For patients with urethral stricture or obstruction, regular dilation facilitates excretion. Additionally, when the probe passes through the urethra, it can stretch the prostate opening, promoting better glandular drainage.
5. Prostate perineural block.
6. Antibacterial drugs: General antibacterial drugs are difficult to penetrate prostate tissue, which is one of the reasons for the challenges in clinical treatment. Two to three drugs can be used in combination, or selective application can be based on bacterial culture and drug sensitivity test results of prostatic fluid.
7. Traditional Chinese Medicine (TCM) treatment based on syndrome differentiation.