Patient's question:
Patient Gender: Li ZhongMain Symptoms: Urinary discomfort
Onset Time: Mid-September
Laboratory Test Results:
Lipid bodies: Occasionally seen;
pH: 6.5;
White blood cells: 3+;
Pus cells: 1+
Previous Treatment History:
Doctor's answer:
Hello: Prostatitis, a common and prevalent male disease, is challenging to treat due to the unclear understanding of its causes, combined with its unique anatomical structure and the fact that it often occurs in individuals with frequent sexual activity. As a result, it is not easy to cure. In daily life, it is common to see patients with prostatitis undergo multiple treatments without achieving a complete cure. In fact, with the continuous advancement of medicine, many methods have shown significant therapeutic effects in treating prostatitis. As long as patients maintain confidence in overcoming the disease and work closely with their doctors, they can be cured of prostatitis and begin a new life.1. Antibiotic Treatment: This is a common method for treating prostatitis. Antibiotic drugs diffuse from the plasma into prostatic fluid, and most are effective against Gram-positive bacteria that cause urinary tract infections. However, due to the inability to penetrate the lipid membrane of the prostate epithelium to reach the prostate gland for therapeutic effect, the results are not very ideal.
2. Traditional Chinese Medicine (TCM) Treatment: Prostatitis, especially chronic prostatitis, is a chronic condition, making traditional Chinese medicine play a significant role in its treatment with promising prospects. TCM generally classifies chronic prostatitis into five types for syndrome differentiation and treatment. Here, we will introduce them separately.
3. Injection Therapy: Since systemic antibiotic use does not achieve effective concentrations in the prostate, a method of directly injecting antibiotics into the prostate has been developed. The specific method involves selecting gentamicin, kanamycin, or cefoxitin (used alone or in combination) and injecting them directly into the prostate gland via the perineum, or under ultrasound guidance, directly into the prostatic lesions. This is done once or twice a week, with 10 sessions constituting one course. The main advantage of this treatment is that the drug is directly injected into the prostate, allowing for easy diffusion and achieving effective antibacterial concentrations. This not only kills bacteria at the injection site but also eliminates bacteria in surrounding tissues. Some of the drug is absorbed into the bloodstream, further synergistically eliminating infections in the urethra and other areas. It is a valuable treatment for refractory and persistent chronic prostatitis.
4. Physical Therapy: Physical therapy is a treatment measure that utilizes various physical factors such as sound, light, electricity, heat, and water to act on the body's tissues, organs, and pathogenic factors, thereby regulating the body's internal factors to restore normal physiological states. Physical therapy primarily leverages its heat-producing effects to cause congestion in deep tissues, improve blood circulation, enhance local tissue nourishment, accelerate the absorption and clearance of inflammatory products, and facilitate the resolution of inflammation.
5. Sitz Bath Therapy: Sitz bath therapy is essentially a form of physical therapy. However, since it requires no medical equipment and can be performed by patients at home, it is a highly effective and household treatment.
6. Massage Therapy: Self-massage is highly effective, easy to perform, and well-accepted by patients, making it an excellent auxiliary treatment method.