Patient's question:
I am 65 years old this year, and my health has always been good. I rarely even get a cold or a headache. However, after the age of 60, I always feel uncomfortable when urinating, and I keep feeling a sense of urgency but cannot urinate.Doctor's answer:
The treatment of prostatitis abscess primarily 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 Prickly Ash to invigorate qi and expel pus; if pus has already formed but is thin and watery, remove Carapace of Tridacna and Spinosum Prickly Ash, increase the dosage of Astragalus, and optionally add Deer Horn Glue to warm and tonify blood vessels; if pus discharge causes pain, add Frankincense and Licorice to dispel stasis and relieve pain, while also expelling 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.