Penis discomfort and constant urge to urinate

Frequent urination, urgency, and incomplete urination are actually very common for male friends. However, it does not mean that it is normal to have a constant urge to urinate due to penis discomfort. This situation may be closely related to the prostate, or even urethritis or urethral infection. If you have a long-term penis discomfort and a constant urge to urinate, it is best to go to the hospital for examination and treatment.

Catheter-related urinary tract infection

(1) Asymptomatic bacteriuria Antibiotic treatment is not recommended for most asymptomatic bacteriuria. Appropriate treatment is recommended in some exceptions: nosocomial infections caused by more virulent microorganisms; patients who may be at risk for serious complications; patients undergoing urological surgery; infections with certain strains that can cause a high incidence of bacteremia; and older female patients who may need short-term treatment after catheter removal.

(2) For symptomatic infections, it is recommended to replace catheters that have been in place for more than 7 days before taking urine samples for culture and before applying antimicrobial drugs, or to use other drainage methods such as penile sheath drainage, suprapubic cystostomy drainage, etc.; if there is no need to continue the catheterization, it can be discontinued. It is recommended to select effective antibiotics based on the results of urine culture and drug sensitivity tests. Initially, broad-spectrum antibiotics can be selected based on experience, and then the use of antibiotics can be adjusted based on the culture results. Oral medication can be used for patients with mild symptoms, generally for 5-7 days. Non-gastrointestinal medications, such as intramuscular or intravenous injections, can be used for patients with severe symptoms, fever, positive blood culture, and difficulty in gastrointestinal medication. For severe cases, medication is generally used for 10 to 14 days. Occasionally, candida infection may occur, which can be treated with antifungal therapy. Long-term, unfounded use of antibiotics is not recommended.

All male patients with cystitis should be excluded from prostatitis. For uncomplicated acute cystitis, oral trimethoprim-sulfamethoxazole or quinolone drugs can be used for treatment, with the same dosage as female patients, but the course of treatment requires 7 days; for patients with complicated acute cystitis, oral ciprofloxacin or levofloxacin can be used for continuous treatment for 7 to 14 days.