Patient's question:
Main symptoms: Frequent urination, incomplete urination, scrotal dampness, soreness around the anus Onset time: 2 years Test results: SterileDoctor's answer:
Treating prostatitis requires visiting a urology specialist. This is because the causes of prostatitis are complex, especially chronic prostatitis, which exhibits varied symptoms, has elusive causes, and is difficult to diagnose. Additionally, medications struggle to reach the affected area, often leading to prolonged, recurrent prostatitis. Only (standardized) urology hospitals can provide proper treatment for this condition, helping patients avoid unnecessary detours and expenses.Antibiotic Treatment: This is a common method for treating prostatitis. Antibiotics diffuse from the blood into prostatic fluid, and most are effective against Gram-positive bacteria that cause urinary tract infections. However, since they cannot penetrate the lipid membrane of prostatic epithelium to reach the alveoli for therapeutic effect, the results are often unsatisfactory. Therefore, when selecting antibiotics for prostatitis treatment, the following principles should be followed:
- The drug should have high sensitivity to bacteria.
- The chosen medication should be highly lipophilic, highly permeable, have a low binding rate with plasma proteins, and high solubility.
- Combining two or more drugs with synergistic effects is recommended.
- To achieve effective concentrations in the interstitial tissue of the prostate and prevent urinary tract infections, it is advisable to use high doses and extended treatment duration (4–12 weeks).
Physical VCD Therapy: This therapy improves and promotes blood circulation in the prostate, alleviating congestion and pressure, and has a certain effect on treating prostatitis.
Surgical Treatment: Surgical methods for prostatitis involve removing inflamed glandular tissue. However, due to the significant trauma caused by surgical intervention, it is not a conventional treatment for prostatitis. Surgery is only considered for chronic prostatitis patients who have severe symptoms and cannot or find it difficult to control their condition with conventional treatments. These patients may also have complications such as prostatic stones, prostatic abscesses, obstructive benign prostatic hyperplasia severely affecting urination, prostate cancer or potential transformation into prostate tumors, severe prostatitis, or severe prostatitis pain. Surgery is only a last resort in such cases.