Patient's question:
Prostatitis abscessDoctor's answer:
The treatment of prostatic 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 modified Longdan Xiegan Decoction. For those who are prone to forming pus, add Astragalus membranaceus, Carapax Trionici, and Prickly Ash to invigorate qi and expel toxins and pus. If pus has already formed but is thin and watery, remove Carapax Trionici and Prickly Ash, increase the dosage of Astragalus membranaceus, and optionally add Deer Horn Glue to warm and tonify blood vessels. For those who experience pain when pus is expelled, add Frankincense and Licorice to dispel blood stasis and relieve pain, while also expelling toxins and 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 should be injected simultaneously. If symptoms do not improve after puncture drainage or worsen progressively, incisional drainage can be performed through the same route.