Post Date December, 03 2023
Introduction to Prostatitis: Prostatitis is one of the most common diseases in middle-aged men, with an onset age of 15-55 years. It can be divided into acute prostatitis and chronic prostatitis, and the latter can be divided into three types: bacterial prostatitis, non bacterial prostatitis, and prostate pain. The symptoms of prostatitis are various and vary greatly among individuals. Currently, the symptoms of prostatitis are collectively referred to as prostatitis syndrome.
Chronic bacterial prostatitis
The main manifestations are frequent urination, urgency of urination, increased nocturia with pain in urination, or pain and discomfort in the lower abdomen and perineum, with a longer course of disease. The diagnosis can only be made if the white blood cells in the prostatic fluid are abnormally elevated and bacteria are cultured. Blood tests, B-ultrasound, X-ray films, and even CT and magnetic resonance imaging are not very useful. Due to the difficulty in penetrating the prostate with antibacterial drugs during chronic inflammation, treatment is more difficult. Relatively speaking, new fluoroquinolones have the strongest penetrating power. Treatment takes a long time and there is a certain possibility of recurrence.
Acute bacterial prostatitis
"It rarely occurs, but the symptoms are fierce, including high fever and chills, severe pain in the anus or perineum, frequent urination, urgency, and pain in urination.". Digital examination of the anus can reveal significant swelling and tenderness of the prostate. Diagnosis can be made based on the above symptoms and urine test results. During acute inflammation, drugs can easily penetrate the prostate, and targeted use of antibiotics has a good effect.
Asymptomatic prostatitis
"There is no discomfort, and only occasional signs of inflammation in the prostatic fluid are detected during the examination, usually without treatment.".
Although severe prostatitis can cause male sexual dysfunction or infertility in some people, it is only a temporary physical discomfort for most patients, with no adverse consequences. Urology authorities believe that the treatment of prostatitis should be as simple as possible, and there is no need to adopt complex and expensive treatment schemes.
Chronic pelvic pain syndrome
"I see it most, but I know it least.". Its symptoms are similar to those of chronic bacterial prostatitis, but no pathogenic bacteria can be found in prostate fluid, so there is no specific treatment yet. In some patients with abnormally elevated white blood cells in prostate fluid, antibiotics may have some effect. Drugs that relax the smooth muscle of the prostate and treatments that relax the pelvic muscles are widely used. In addition, plant drugs and traditional Chinese patent medicines and simple preparations preparations also have auxiliary effects.
In the outpatient department of a hospital, it is not difficult to find that the "old patient" of the prostate who has been tortured and is not willing to give birth to pain. The first sentence they often say to the attending doctor is: "Why is prostatitis always so difficult to cure?" "How to treat prostatitis?" Many patients have questions of one kind or another. Today, experts especially answer questions for prostatitis patients.
1. Is it necessary to seek expert advice for prostatitis?
Not necessarily. Prostatitis is a common disease in the urology department, which belongs to the basic skills of regular urologists and has similar treatment methods. Therefore, ordinary urology clinics can fully cope with it. It is best for patients to find a reliable hospital, a trusted doctor, and patiently take a few visits. Basically, they will improve.
2. Is direct injection of antibacterial drugs into the prostate effective?
This method can damage the internal environment of the prostate and increase the risk of infection, and is prone to bacterial resistance. Municipal hospitals do not use this method, and academic journals of the Chinese Medical Association do not publish articles on this treatment.
3. Can transurethral resection or vaporization (ablation) of the prostate treat prostatitis?
This type of surgery is aimed at prostate hyperplasia and cannot remove the peripheral portion of the prostate, the main site of prostatitis, resulting in poor results. In principle, it is not recommended to perform any form of surgery or urethral manipulation for prostatitis.
