So what clinical phenomena should be considered fungal infections? 1, The patient has been showing symptoms of prostatitis and receiving treatment for more than six months, and the doctor seems to have lost confidence in the treatment. 2, after many courses of antibiotic treatment, the symptoms of prostatitis are still not improving. 3, with prostatitis symptoms accompanied by many other clinical symptoms of Candida albicans infection of the prostate, mainly including painful or difficult urination, urine containing blood cells or albumin, rectal irritation, rectal-anal tingling, decreased libido, etc. The fungal prostatitis, theoretically, because of the female vulva, vaginal fungal infection is a common infection scarcity over long-term sexual contact, fungus can be retrograde infection through the male urogenital tract to the prostate and cause chronic prostatitis; especially some chronic prostatitis patients, because of the long use of antibiotics or repeated direct injection of antibiotics, glucocorticoids, etc. into the prostate, the starting flora dysbiosis, immune deficiency, thus The most effective way to treat fungal infections is to take 2 years, and the effectiveness of this treatment depends on how strict the patient’s diet is. A fungal infection of the prostate is often part of a systemic infection, so the treatment of a patient with a confirmed fungal infection should include systemic and local treatment, as well as a ban on sexual intercourse and the examination and effective treatment of the spouse. Systemic application of broad-spectrum antifungal drugs, you can choose amphotericin B, the starting dose 0.1mg/kg, the maximum dose should not exceed 1mg/kg, once every 1-2 days, diluted with 5% glucose injection to 0.1mg/ml, slowly intravenous drip, 2-3 months for a course of treatment, it should be noted that the side effects of the drug is more serious. Fluconazole injection has good drug resistance and pharmacokinetic effects, and is an ideal drug for the treatment of genitourinary fungal infections, the first dose of 0.4g, followed by 0.2-0.4g daily, slowly intravenous drip, the drip rate does not exceed 5mg/min, and should be noted for its common side effects, the general course of treatment is 6-8 weeks. It is recommended here that antifungal drug therapy for those with unclear diagnosis should be treated with great caution. The more commonly used oral broad-spectrum antifungal drugs include ketoconazole, 200-400 mg daily in one or two oral doses. Miconazole is available at 500 mg 2/d. Clotrimazole and mycophenolate can also be used. Topical treatment includes intraurethral instillation of gentian violet to kill Candida albicans, and miconazole formulated to a concentration of 50 mg/ml for continuous bladder irrigation can treat fungal infections accompanying the bladder. Fungi are suitable for growth in an acidic environment, so alkalinizing the urine can effectively inhibit the growth and reproduction of fungi. Baking soda tablets or 10% potassium citrate combination can be taken orally, or bladder irrigation with 2%-3% sodium bicarbonate solution can be performed. Intraurethral instillation of gentian violet can kill the local fungus.