Patient's question:
My boyfriend went to the hospital yesterday and was told he has a prostatitis abscess. However, he hasn't been feeling well these past few days, and his daily routine is still quite normal.Doctor'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 with modifications. If there is a tendency to form pus, add Astragalus, Carapace of Tridacna, and Spinosum Fruit to invigorate qi and expel toxins to drain pus. If pus has already formed but is thin and watery, remove Carapace of Tridacna and Spinosum Fruit, increase the dosage of Astragalus, and add ingredients like Deer Horn Glue to warm and tonify blood vessels. If there is pain upon pus discharge, add Myrrh and Licorice to dispel stasis and relieve pain while expelling toxins to drain pus.
If conservative treatment is ineffective, pus should be drained as soon as possible. This can be done through perineal, rectal, or urethral puncture, with antibiotics injected simultaneously. If symptoms do not improve after puncture drainage or worsen progressively, incisional drainage can be performed through the same route.