Post-Visit Questions on Urological Health Issues - Urology

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Questions After the Consultation


Hello Dr.
Hsu,
I have been experiencing urinary tract issues, and today I visited a doctor who performed a prostate massage and a urinalysis.
The preliminary test results indicate that there is no infection in the prostate or urethra, but the doctor mentioned that further bacterial cultures will be available next week during my follow-up appointment.
For now, it seems highly likely that I have aseptic chronic prostatitis.
I have two questions:
1.
The doctor prescribed me a seven-day course of Uroflow, which I should take before my next appointment.
However, after researching online, I found that this medication is primarily used for treating benign prostatic hyperplasia rather than prostatitis.
Could you explain why the doctor chose to prescribe this medication? What is the intended purpose?
2.
My home situation does not allow for a proper sitz bath, so the doctor suggested an alternative method of using a handheld showerhead to direct warm water at the perineal area for 3-5 minutes, which should provide similar benefits to a sitz bath.
Do you agree with this alternative approach?
I appreciate your response! Thank you.

Ni Ke, 30~39 year old female. Ask Date: 2015/10/05

Dr. Xu Weikai reply Urology


Nick: Hello! 1.
Who says Urokinase cannot be used to treat prostatitis? The information online is incorrect.
Prostatitis can cause swelling of the prostate, and medications like this can be used for treatment.
2.
Local heat application: Generally, sitz baths are recommended as they provide more stable temperatures.
If that's not convenient, using a warm towel, a hot water bottle, or a heating pad can also work.
Personally, I believe that local hot water rinses are not very effective, but they are better than doing nothing at all.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online answers should only be used as a reference; if necessary, it is still important to seek medical care at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/10/05

More Info


Hello! Thank you for your questions regarding your urological health issues. It’s great that you are being proactive about your health and seeking clarification on your treatment plan. Let’s address your concerns one by one.

1. Use of UroLift (or similar medication): You mentioned that your doctor prescribed a seven-day course of UroLift, which is primarily used for benign prostatic hyperplasia (BPH). It’s understandable to be confused about why this medication was chosen for your condition, especially if you are experiencing symptoms related to chronic prostatitis or non-bacterial prostatitis. The rationale behind prescribing this medication could be multifaceted.
First, UroLift can help alleviate urinary symptoms that may be associated with prostate enlargement, even if there is no infection present. Chronic inflammation of the prostate can lead to similar symptoms as BPH, such as difficulty urinating, increased frequency, or urgency. By reducing the size of the prostate or improving urinary flow, the medication may help relieve some of the discomfort you are experiencing.
Additionally, it’s worth noting that some medications used for BPH can also have anti-inflammatory properties, which might provide symptomatic relief in cases of prostatitis. It’s essential to follow your doctor's advice and monitor your symptoms during this treatment period. If you find that your symptoms do not improve or worsen, be sure to discuss this with your doctor during your follow-up visit.

2. Alternative to Warm Water Sitz Bath: Your doctor suggested using a handheld showerhead to direct warm water at the perineal area as an alternative to a traditional sitz bath. This is indeed a valid approach and can be quite effective. The goal of a sitz bath is to provide warmth and moisture to the area, which can help soothe inflammation and discomfort.
Using a handheld showerhead to rinse the perineal area with warm water can achieve similar effects by promoting blood flow and relaxation of the pelvic muscles. It’s important to ensure that the water is at a comfortable temperature to avoid burns or discomfort.
If you find this method convenient and it provides relief, it can certainly be a suitable alternative. However, if you experience any discomfort or if your symptoms persist, it would be wise to revisit the idea of a sitz bath or discuss other options with your healthcare provider.

In summary, it’s crucial to maintain open communication with your healthcare provider regarding your treatment and any alternative methods you are considering. They can provide personalized advice based on your specific condition and needs. Remember to keep track of your symptoms and any changes you notice while on the medication or using the alternative methods suggested. This information will be valuable during your follow-up appointment.

If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider. Your health and comfort are paramount, and it’s essential to address any uncertainties you may have. Wishing you a smooth recovery and relief from your symptoms!

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