Patient's question:
Prostatitis 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.Traditional Chinese medicine treatment can use Longdan Xiegan Decoction (modified). If there is a tendency to form pus, add Astragalus membranaceus, Carapax Trionycis, and Spinae Ternatae to invigorate qi and expel toxins and pus. If pus has already formed but is thin and watery, remove Carapax Trionycis and Spinae Ternatae, increase the dosage of Astragalus membranaceus, and appropriately add Colla Cervi Cornu to warm and tonify blood vessels. If pus discharge causes pain, add Myrrh and Licorice to dispel blood stasis and relieve pain, while also expelling toxins and pus.
If conservative treatment is ineffective, the pus should be drained as soon as possible. Pus can be drained through the perineum, rectum, or urethra, and antibiotics should be injected simultaneously. If symptoms do not improve after puncture drainage or worsen progressively, incisional drainage can be performed through the same route.