Patient's question:
Postoperative examination revealed that varicose veins have healed, but I have been experiencing discomfort for a long time. There are three main symptoms: 1. Swelling and heaviness in the scrotum; 2. Pain and soreness in the buttocks; 3. Discomfort in the inner thigh, sometimes accompanied by lower back pain. These symptoms fluctuate in severity, becoming more pronounced after prolonged sitting and slightly improving after standing for a while.Doctor's answer:
Treatment Plan for Prostatitis:1. For bacterial infection: Take Novamox and Levofloxacin orally for half a month.
2. Take traditional Chinese medicine (TCM) decoctions daily to invigorate blood, resolve stagnation, clear heat, and promote diuresis, such as Ningmaitai capsules.
3. Sitz baths with TCM herbs or hot water. Alternatively, enemas (for those without fertility requirements).
4. Psychological therapy. Don’t overthink, relax your worries, and stay positive.
5. Prostatic Suppository () plus Harle.
6. For sexual dysfunction: Luobupukebiri pills and Compound Xuanju. Low-dose Viagra may be used if necessary.
For chronic prostatitis:
Prostate massage, moderate and regular sexual activity are recommended.
Additional notes:
Improve lifestyle, such as:
- Less sitting, more movement,
- Avoid alcohol, reduce spicy food intake,
- Ensure adequate sleep, avoid staying up late, etc.
Practices like Kegels (tensing and releasing the pelvic floor), standing and squatting, playing jianzi (Chinese shuttlecock), and running can also be beneficial.