Post Date December, 03 2023
Past classification of prostatitis: acute and chronic bacterial prostatitis; Non bacterial prostatitis; Prostate pain.
In 1999, a new classification method for prostatitis was recommended, based on the initial 10 milliliters of urine after semen, prostate fluid, or prostate massage, to classify prostatitis into:
（1） Acute bacterial prostatitis (type I): Acute bacterial infection occurs.
（2） Chronic recurrent bacterial infection occurs in chronic prostatitis (type II).
（3） Chronic Pelvic Pain Syndrome (Type III): Includes chronic non bacterial prostatitis and prostate pain. (1) Inflammatory type (IIIA): There are white blood cells in the initial 10 milliliters of urine after semen, prostate fluid, or prostate massage. (2) Non inflammatory type (IIIB): There are no white blood cells in the initial 10 ml of urine after semen, prostate fluid, or prostate massage.
（4） Asymptomatic inflammatory prostatitis (type IV): Asymptomatic. It is only occasionally diagnosed when white blood cells are found in prostate fluid during prostate biopsy or other examinations.
There are seven main life precautions for patients with prostatitis:
（1） Rest in bed, keep your bowels smooth, fast spicy and stimulating foods, drink plenty of water, and promote urination.
（2） During acute inflammation, urethral instrument examination is prohibited to prevent the spread of infection.
（3） Taboo sexual intercourse and avoid sexual excitement.
（4） Eliminate predisposing factors, prevent colds and perineal injuries, and avoid cycling.
（5） Hot compress or hot water sitz bath on the lower abdomen and perineum.
（6） Avoid damp and cold stimulation of the perineum. If the pain is severe, take analgesics.
（7） Massage is contraindicated because during the acute inflammatory period, the prostate tissue is significantly congested and edematous. After massage, it can cause tissue damage, spread inflammation, and allow bacteria to enter the blood, leading to septicemia, which can also exacerbate symptoms.
