Prostatic fluid is a method specifically used to treat prostate diseases, but this method is not suitable for everyone. People need to have a comprehensive physical examination before using this method for treatment. Some people can become pregnant after prostatic fluid treatment, which can improve the conditions that affect reproductive function and enhance fertility and sexual ability. Type I prostatitis often develops suddenly, with symptoms such as chills, fever, fatigue, and other systemic symptoms, accompanied by pain in the perineum and pubic area, frequent urination, urgency, rectal irritation, and even acute urinary retention. The clinical symptoms of type II and type III prostatitis are similar, mostly with pain and abnormal urination. Regardless of the type of chronic prostatitis, similar clinical symptoms can be manifested, collectively referred to as prostatitis syndrome, including pelvic and sacral pain, abnormal urination and sexual dysfunction. Pelvic and sacral pain is extremely complex. The pain is generally located above the pubic bone, lumbosacral region and perineum. Radiating pain can manifest as pain in the urethra, spermatic cord, testicles, groin, and inner side of the abdomen. It radiates to the abdomen and resembles acute abdominal pain. It radiates along the urinary tract and resembles renal colic, which often leads to misdiagnosis. Abnormal urination is manifested as frequent urination, urgent urination, painful urination, sluggish urination, bifurcated urine stream, dripping after urination, increased frequency of nocturia, and milky white secretions from the urethra after urination or during defecation. Occasionally, sexual dysfunction may occur, including decreased libido, premature ejaculation, painful ejaculation, weak erections, and impotence. Type IV prostatitis has no clinical symptoms and evidence of inflammation is only found during prostate examinations. The detection of pathogenic pathogens in prostatic fluid culture is the basis for selecting antibacterial drug treatment. If patients with non-bacterial prostatitis have signs of bacterial infection and general treatment is ineffective, they can also be appropriately treated with antibacterial drugs. When choosing antibacterial drugs, it is necessary to pay attention to the presence of a prostate-blood barrier composed of lipid membranes between the prostate acini and the microcirculation. The barrier prevents the passage of water-soluble antibiotics, greatly reducing the treatment effect. When prostate stones are present, the stones can become a shelter for bacteria. The above factors constitute the difficulty in the treatment of chronic bacterial prostatitis, which requires a longer course of treatment and is prone to recurrence. Currently, quinolone drugs such as ofloxacin or levofloxacin are recommended. If ineffective, continue to use for 8 weeks. If recurrence occurs and the strain remains unchanged, switch to preventive doses to reduce acute attacks and relieve symptoms. If long-term use of antibiotics induces severe side effects such as pseudomembranous colitis, diarrhea, and the growth of drug-resistant strains in the intestine, the treatment plan needs to be changed. Whether nonbacterial prostatitis is suitable for treatment with antibiotics is still a clinical debate. Patients with "sterile" prostatitis can also use drugs that are effective against bacteria and mycoplasmas, such as quinolones, SMZ-TMP or TMP alone, used in combination with tetracycline and quinolones or used intermittently. If antibiotic treatment is ineffective and it is confirmed to be sterile prostatitis, antibiotic treatment should be discontinued. In addition, using a double balloon catheter to block the prostatic urethra and injecting an antibiotic solution from the urethral cavity into the prostatic duct can also achieve the treatment goal. |
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