Post Date December, 03 2023
Chronic prostatitis is a common disease in male adults. It usually occurs in young men aged 20 to 40 years. The incidence rate is very high. It is mainly manifested in pain, urinary tract symptoms, reproductive system symptoms, mental depression, etc., and is often difficult to cure. Chronic prostatitis is generally divided into three types: bacterial, non bacterial, and pelvic perineal pain. The clinical manifestations are complex and the symptoms are often atypical.
[Etiology]
1. Pathogenic bacteria such as staphylococcus, streptococcus and Escherichia coli spread to the prostate through blood and lymph, or infections in the urethra and other parts of the genitourinary system spread directly to the prostate.
2. Caused by incomplete treatment of acute prostatitis.
Symptoms
1. Urinary irritation symptoms: painful urination, urgency, frequent urination, and excessive nocturia.
2. Prostatic discharge: A small amount of milky white prostatic fluid flows from the urethra at the end of urination or when the stool is forced.
3. Pain: Discomfort or pain in the perineum, perianal region, pubic region, lower abdomen, lumbosacral region, groin, scrotum, inner thighs, testicles, and urethra.
4. Symptoms of sexual dysfunction and neurasthenia: decreased sexual function, premature ejaculation, ejaculation, and impotence, insomnia, and low mood.
[Inspection]
1. Blood routine and urine routine.
2. Bacterial culture.
3. Digital rectal examination.
4 Routine prostatic fluid.
[Diagnosis]
1. There may be a history of acute prostatitis that has been delayed.
Mainly characterized by local pain, discomfort, and urination symptoms, accompanied by neurosis and sexual function symptoms.
3. Digital rectal examination: The prostate can be normal or slightly larger, with a smooth and tough surface, and may have local tenderness or nodules formed due to fibrosis. Repeated attacks can cause prostate atrophy, reduction in volume, and hardness.
Routine examination of prostatic fluid: a large number of pus cells, white blood cells and lecithin bodies can be significantly reduced, and pathogenic bacteria can be found in prostatic fluid smear or culture;
[Treatment]
1. Antibiotic treatment.
Sealing around the prostate gland.
3. Prostate urethral irrigation therapy.
4. Physical therapy.
5 Surgical treatment.
