Patient's question:
Prostate abscessDoctor's answer:
The treatment of prostatic abscess mainly includes conservative treatment and surgical treatment. Conservative treatment is similar to acute prostatitis. Antibiotics should be selected after pus culture and drug sensitivity tests to promote inflammation absorption and eliminate and control inflammation.Chinese medicine treatment can use Longdan Xiegan Decoction modified according to the condition. If there is a tendency to form pus, add Astragalus membranaceus, Carapax Trionici, and Spinae Ternatae to invigorate qi and expel toxicity to drain pus. If pus has already formed but is thin and watery, remove Carapax Trionici and Spinae Ternatae, increase the dosage of Astragalus membranaceus, and add ingredients like Cervi Cornu Gelatinum to warm and tonify blood vessels. If pus drainage is accompanied by pain, add Myrrh and Licorice to dispel blood stasis and relieve pain, while also expelling toxicity to drain pus.
If conservative treatment is ineffective, pus should be drained as soon as possible. Pus can be drained through the perineum, rectum, or urethra, and antibiotics can be injected simultaneously. If symptoms do not improve after drainage or worsen progressively, incision and drainage can be performed through the same route.