Patient's question:
I have been sick for five years. I have a weak stream, frequent urination, urgency, lower back pain, erectile dysfunction, impotence, lack of energy, poor physical condition, poor memory, and slow reaction. I have visited many hospitals, such as Anhui Provincial Hospital and Anhui University of Medical Sciences Affiliated Hospital, etc.Doctor's answer:
Personal Opinion: You can try α-adrenergic blockers like tamsulosin or terazosin, as they are the first-line treatment.Online consultation, since I haven’t seen the patient, I cannot provide a specific treatment plan. I can only offer some suggestions, which have certain limitations.
A few pieces of advice:
1. Please remember the characteristics of prostatitis: Prostatitis does not pose significant harm to health.
Chronic prostatitis does not have a clear progressive course and is not life-threatening or harmful to major organ function. Not all cases of prostatitis require treatment, so don’t feel too much psychological pressure.
The main goal of treating chronic prostatitis is to relieve pain, improve urinary symptoms, and enhance quality of life. Efficacy evaluation should focus on symptom improvement. Prostatitis is primarily a disease treated for symptoms, not a disease targeted by routine prostatic fluid tests.
The above characteristics of prostatitis indicate that expensive and complex treatments are generally not needed for it.
2. It is recommended that you always follow the principle of seeking medical attention at formal hospitals and receiving standardized diagnosis and treatment.
3. The Chinese Medical Association has guidelines for the diagnosis and treatment of prostatitis. It is advisable to follow these principles for diagnosis and treatment.