Post Date December, 02 2023
"Acute gonococcal prostatitis can be converted from incomplete treatment to chronic disease, but most cases are caused by the residual chronic gonococcal prostatitis after the treatment of gonococcal urethritis.". Most patients have a history of extramarital sexual life.
[Clinical symptoms]
The systemic symptoms of patients with chronic gonococcal prostatitis are not obvious, but mental symptoms are common. The main reason is that patients are worried about infertility or sexual dysfunction, seek medical attention everywhere, and take a large amount of medication. When the curative effect is not good, they in turn believe that the condition worsens and become more worried, resulting in insomnia, dizziness, and general fatigue throughout the night. "I feel a sense of oppression, swelling, falling, itching, or dull pain in the perineum, or alternating swelling and pain in the left and right testicles.". The following symptoms are still present:
1) Urethral lipstick: Sometimes there is a small amount of white secretion flowing out of the urethra, which is filamentous and is called gonorrhea. After waking up in the morning, there is a significant amount of urine or end urine, and there are frequent urination, incomplete urination, urethral burning, pain at the beginning or end of urine, and pain often radiates to the penis and perineum. Sometimes hematuria occurs, most commonly seen under microscopy.
2) Radiation pain in the prostate can reach the perineum, suprapubic, inguinal, testicular, and occasionally the abdomen.
3) Low sexual function, manifested as impotence, ejaculation, premature ejaculation, insomnia, dreaminess, and individual infertility.
4) Individually, it can cause allergic reactions such as systemic joints or rheumatic changes. This is an allergic reaction caused by bacterial toxins, manifested as neuritis, neuralgia, iritis, conjunctivitis, or arthritis.
5) Digital examination of the rectum can indicate that the prostate is full or normal in size, slightly stiff, uneven in hardness, inelastic, and slightly tender.
6) The lens of prostate fluid smear showed a decrease in lecithin bodies, uneven distribution, and increased white blood cells.
[Western medicine treatment]
For patients with chronic gonococcal prostatitis, in addition to patient ideological work to relieve their concerns, instruct them to drink more water and urinate more, which can help flush the urethra, help excrete prostate secretion, and reduce bladder irritation. At the same time, avoid alcohol, sour, spicy, strong tea, coffee, and other foods, and avoid long-term cycling, do not sit still. Physical and medical treatment is still needed.
Physical therapy
It is advisable to use a hot water bath or a slave bath, and options include infrared irradiation, ion permeation, ultrashort wave, CO2 laser defocus, or electrothermal magnetic therapy.
Prostate massage can discharge inflammatory secretions once every 5 to 7 days, and 4 to 8 times is a course of treatment. Recently, some scholars have proposed that regular prostate massage can promote the spread of gonorrhea in the prostate, and do not advocate its use.
Pharmacotherapy
The commonly used dosage of drugs in the prostate is difficult to achieve an effective therapeutic concentration, and the effect is often unsatisfactory. Therefore, in the treatment, it is necessary to select drugs with strong penetration, which can reach a higher concentration in the prostate, and stay for a long time to promote the absorption and dissipation of inflammation.
Penicillin G4.8 million units plus 10% glucose 50-80ml intravenous injection, once a day, 5-7 days as a course of treatment.
B. Cephalosporin 1.0g plus 1% Docaine injection 4ml deep intramuscular injection, twice daily, for 10-15 days.
"1. 0 g of Biotherapy, intramuscular or intravenous, once a day, for 7 days.".
D. Spectacomycin 4.0, intramuscular injection, once a day, for 7 days.
E. Oral medication can be 100 mg of minocycline twice daily for 10 days, or 200 mg of ofloxacin twice daily for 10 days, or 500 mg of ciprofloxacin twice daily for 10 days.
f. Traditional Chinese patent medicines and simple preparations can choose Qianlietong, Qianliekang and Nankang tablets.
