Post Date December, 03 2023
Is prostate pain necessarily prostatitis? In fact, this logical idea is unscientific. Prostate pain is not caused by organic lesions in the prostate itself, but rather by pain, discomfort, and urinary tract symptoms caused by muscle spasms and neurological dysfunction in the urethra, prostate, perineum, and pelvic floor.
Prostate pain symptoms like prostatitis
Clinically, some patients with chronic "prostatitis" symptoms may experience frequent urination, urgency in urination, burning urethra, and discomfort in the urethra. In severe cases, they may even be accompanied by waiting for urination and difficulty urinating. These patients also have common characteristics, such as dull pain or distension in areas such as the lower abdomen, perineum, testicles, anus, and lumbosacral region, and some even feel pain immediately after sitting down.
These patients with chronic "prostatitis" symptoms have normal prostate fluid routine tests, and even B-ultrasound or CT examinations of the prostate are normal. In fact, they suffer from what is called prostate pain. Due to the similar symptoms, many prostate pains are often misdiagnosed as chronic prostatitis, and repeated treatment for prostatitis has not improved.
Prostate pain cannot be treated with antibiotics
Because prostatodynia is a non infectious diseases, it is groundless and ineffective to use antibiotics for "anti-inflammatory" treatment. The fundamental cause of prostate pain is involuntary habitual spasms or contractions of the pelvic floor muscles, and mental factors also have a certain impact. Therefore, the most important measure in treatment is to improve lifestyle and reduce psychological burden.
Regular work and rest, avoiding mental tension and sedentary behavior, and doing more lower limb exercises can often alleviate pelvic floor muscle spasms. Drinking more water at ordinary times to promote the excretion of urine can avoid concurrent urinary tract infections. For some patients, oral sedatives alone can improve symptoms and relieve pain. Some health care measures such as hot water sitz baths, physical therapy, and regular sex life are also quite effective.
