Post Date April, 15 2023
Patients with prostatitis should pay attention to whether there is obvious pain in the affected part when the doctor performs prostate massage, because pain is one of the symptoms of inflammation. Also learn to read the routine examination report of prostate fluid.
After understanding the reason why prostatitis is difficult to treat and knowing that it is not insurmountable, we should also master the "good prescription" for treating the disease.
1、 What kind of hospital and doctor are you looking for?
Generally speaking, the credibility of formal large hospitals is relatively high, while that of individual or private small hospitals is relatively low. The latter does not conduct systematic and detailed physical examination and test, and uses drugs indiscriminately, especially antibiotics indiscriminately. It is better for patients to go to the urology department, male department, prostate department or traditional Chinese medicine department, and ask the specialist to carefully analyze the condition, and finally formulate a comprehensive treatment plan.
2、 What should I pay attention to when seeing a doctor?
Patients with prostatitis should pay attention to whether there is obvious pain in the affected part when the doctor performs prostate massage, because pain is one of the symptoms of inflammation. Also learn to read the routine examination report of prostate fluid. The routine report of prostate fluid mainly includes two items: ① Lecithin body, which should be more than 60% (marked with+) normally; ② White blood cells (WBC), normal should be less than 10/HP (high power visual field), if more than 10 or marked, it indicates inflammation. In order to further understand whether inflammation is bacterial or non-bacterial, bacteriological examination must also be carried out. It is better to do bacterial culture test and drug sensitivity test of prostate fluid. If necessary, B-type ultrasonic examination or transrectal probe examination (probe inserted from anus) can also be performed, so that the results are more accurate.
3、 What should I do if I suffer from prostatitis?
Once the diagnosis is confirmed, it means that we may have to face this disease for a long time. If we want to cure prostatitis, we should neither take it lightly nor be pessimistic and disappointed. We should follow the scientific treatment plan.
First of all, on the basis of bacterial culture and drug sensitivity test, select sensitive antibiotics for treatment, and select antibiotics with strong penetration to the prostate, such as erythromycin, cephalosporins, minocycline, etc., which should be used in sufficient dose and full treatment course, and generally should be treated continuously for 8-12 weeks. Some traditional Chinese patent medicines and simple preparations can be used together. Pay attention to the choice of medicines marked with "Wei Yao Approval". Transrectal administration is also an effective method. The drug can be directly absorbed by rectal mucosa. Through these treatments, the majority of patients can be basically cured after 1-2 courses of treatment.
However, do not relax your vigilance. The key to complete treatment of prostatitis is to avoid recurrence. Self-care can greatly reduce the recurrence rate: ① pay attention to sexual hygiene and ensure that your spouse does not have genitourinary infection; ② Avoid spicy, irritating food and alcohol; ③ Drink 1-2 liters of water every day and take a sitz bath with warm water (40-43 ℃ warm water) for 10-15 minutes; ④ Exercise properly and lift the anus and contract 50 times a day; ⑤ As long as the examination excludes the presence of prostatitis. Don't mess with school doctors and drugs.
(Intern editor: Huang Jiazhen)
