(I) disease characteristics 1. sudden onset, chills and high fever, lumbosacral and perineal pain, with urinary frequency, urinary urgency and pain; 2. difficulty in urination or acute urinary retention may occur; 3. often accompanied by acute cystitis; 4. prostate swelling, tenderness is obvious, local temperature is elevated, the surface is smooth, and the formation of abscess is full or fluctuating; (II) diagnostic and therapeutic procedures (III) specific treatment plan: 1. general Treatment: Bed rest for 3-4 days, drink plenty of water, and refrain from drinking alcohol and eating stimulating food. Hot water sitz bath or hot compress on the perineum can be performed, and keep the bowels open. Avoid sexual life. 2, antibiotic treatment: (1) when the patient’s systemic symptoms are obvious, the body temperature is high, blood leukocytes significantly elevated, should be given through the intravenous, use 1 week after the switch to oral drugs until 1 month; (2) should be used to diffuse into the prostate and fast and effective intravenous broad-spectrum antibiotics, rapid control of symptoms to prevent the transformation into chronic prostatitis. The actual results of the bacterial culture will be available before the selection of sensitive antibiotics. The most common broad-spectrum antibiotics are cephalosporins and fluoroquinolones to fight infections. The commonly used intravenous drugs are Shuppu Shen 2.0g, intravenous drip, 2-3 times a day; New Ripexin 3.0g, intravenous drip, twice a day; Levofloxacin 2.0g, intravenous drip, twice a day; Moxifloxacin (Bayflor) 400mg, intravenous drip, once a day, etc. Commonly used oral medications include Darifenacin 0.5g, twice daily; Levofloxacin 0.2g, twice daily; Bayflor 0.4g, once daily, etc. 3, symptomatic treatment: (1) If high fever occurs, antipyretic drugs should be given symptomatically, such as anti-inflammatory pain suppository 1/2 capsule, anal plug, PRN; Bactrim 1 tablet, PRN, etc. (2) If bladder irritation is obvious, use: Duloxet 0.2g, orally, 3 times a day; Halle 0.2mg, orally, once a day. (3) If difficulty in urination or urinary retention occurs, a temporary suprapubic cystocentesis stoma should be performed to drain urine, or a fine soft silicone catheter should be used for indwelling catheterization. 4, surgical treatment: If acute prostatitis has formed a prostate abscess, then an incision and drainage should be performed through the rectum or through the perineum. If the abscess is confined to the prostate, urethroscopy can be used to perform prostate puncture and drainage, followed by injection of broad-spectrum antibiotics.