Patient's question:
Does cold sitz bath help with prostatitis? I've heard about warm sitz bath for treating prostatitis, but my doctor said cold water is better than hot water.Doctor's answer:
Hello: Not very clear about physical therapy!1. General treatment: Boost confidence, eliminate mental concerns, moderate sexual desire, but avoid forced abstinence. Avoid alcohol and stimulating foods. Hot Sitz baths once a night, local therapy, and modify obvious life triggers such as avoiding long-distance cycling.
2. Prostate massage: Regular prostate massage can promote the discharge of prostatic inflammatory secretions. Perform 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 once a week.
4. Urethral dilation: For urethral stenosis or obstruction, regular dilation facilitates excretion. Additionally, when the probe passes through the urethra, it can stretch the prostate opening, promoting glandular drainage.
5. Prostatic perineural block: Gentamicin 80,000 units plus 1% novocaine 1–2 mL, once a day, with 7–10 sessions per course. Alternatively, penicillin 800,000 units, streptomycin 0.5 g, plus 1% novocaine 2–4 mL, once or twice a week.
6. Antibacterial drugs: General antibacterial drugs are difficult to enter prostate tissue, which is one of the reasons for the difficulty in clinical treatment. Ideal antibacterial drugs should meet three conditions: ① lipid-soluble alkaline drugs; ② low binding to plasma proteins; ③ high dissociation degree. Currently, commonly used drugs in clinical practice include:
Compound sulfamethoxazole 1.0 g twice a day
Streptomycin