Patient's question:
For many years, there has been a split in the urine, a burning sensation, discomfort in the lower abdomen, discomfort in the anus, and a feeling of needing to defecate.Doctor's answer:
1. It can be diagnosed as bacterial prostatitis. Since long-term use of antibiotics has been ineffective, consider performing a bacterial culture of prostatic fluid to identify the pathogenic bacteria, which can guide medication.2. After diagnosis, I do not recommend massaging the prostatic fluid weekly, as this can drain the prostatic fluid but may also spread the inflammation (personal opinion).
3. For prostatitis, health maintenance is as important as treatment. Let's see what you have achieved from the following points: not smoking or drinking, not staying up late, not overworking, going to bed early and waking up early with appropriate physical exercise, avoiding spicy foods, eating more vegetables and light meals, having regular sexual activity, avoiding cold and damp environments, paying attention to warming the lower limbs and perineal area, etc.
4. Check if you have varicocele, as this condition can overlap with symptoms of prostatitis.