Patient's question:
How is acute prostatitis formed, what is prostatitis? What Chinese medicine is good for benign prostatic hyperplasia, what is prostatitis?Doctor's answer:
1. General treatment: Rest in bed for 3-4 days, drink adequate fluids, and avoid alcohol and irritating foods. Warm Sitz baths or perineal heat applications can be performed, and bowel movements should be kept regular. Sexual activity is prohibited.2. Antibiotic treatment: When the patient has significant systemic symptoms, a high fever, and a marked increase in white blood cell count, intravenous administration should be used. After 1 week, oral medication should be switched to continue for 1 month. If the patient has mild systemic symptoms and normal temperature and blood tests, oral medication can be used, with a typical course of 1 month. Effective and rapidly diffusing anti-infective drugs that can penetrate the prostate should be selected to quickly control symptoms and prevent the condition from becoming chronic prostatitis.
3. Comprehensive treatment: The unique position and structure of the prostate make simple medication ineffective. Its outer lipid membrane acts as a barrier, making it difficult for drugs to reach the local area, thus failing to produce therapeutic effects. Even if drugs can penetrate the multiple barriers to reach the lesion, their efficacy is significantly reduced. Therefore, the results are extremely slow and low-effective. Clinically, these methods can only improve symptoms, so we recommend a comprehensive treatment approach: taking sufficient antibiotics orally for anti-inflammatory and antibacterial treatment.
4. Symptomatic treatment: If high fever occurs, antipyretic drugs such as indomethacin suppositories or aspirin should be administered. If significant bladder irritation symptoms are present, the following can be used: Probenecid 15-30mg orally, three times daily; Prazosin 2mg orally, twice daily. If urinary retention or difficulty urinating occurs, temporary suprapubic cystostomy should be performed to drain urine, or a soft silicone catheter can be left in place for catheterization.
5. Surgical treatment: If acute prostatitis has developed into a prostate abscess, drainage surgery should be performed via the rectum or perineum. If the abscess is confined to the prostate, transurethral resection can be used for abscess drainage, followed by the injection of broad-spectrum antibiotics.