Post Date December, 03 2023
Prostatitis is a male frequently-occurring disease, which usually occurs in young men. Prostatitis seriously affects the health of patients, and many patients delay their illness because of untimely treatment. At present, prostatitis is mainly divided into acute and chronic. Acute prostatitis is mainly caused by bacterial infection, and most patients are sterile prostatitis. Sitting on the Internet for a long time, drinking and smoking, etc., lead to slow blood circulation in the perineum, and directly lead to chronic congestion and congestion in the perineum and prostate. The prostate is congested, causing some metabolic products to accumulate, the prostate gland tube is blocked, and the secretion of gland fluid is not smooth, causing chronic prostatitis over time.
The causes of prostatitis are as follows:
1. Because of the complexity of the symptoms of prostatitis, many patients can not distinguish themselves, delaying the best period of treatment.
2. Prostate calculus or prostatic hyperplasia causes prostate tissue congestion, causing infection, and lax operation of urethral dilation causes urethral instruments to bring in bacteria and induce prostatitis.
3. Massage the prostate excessively or exert too much force, resulting in hyperemia and edema of the prostate.
4. Gonococcal urethritis is common in some patients with sexually transmitted diseases. Gonococcus enters the prostate through the urethra and prostate tube to induce prostatitis.
5. Frequent alcoholism, excessive drinking, cycling and horseback riding can cause prostate congestion, which is closely related to the onset of prostatitis.
6. If you don't pay attention to the cold, it will cause the sympathetic nerve activity of the prostate, lead to the increase of pressure in the urethra, hinder the excretion due to contraction, and lead to siltation and congestion.
7. Inflammatory lesions in the adjacent organs of the prostate such as rectum, colon and lower urinary tract can cause prostatitis through lymphatic vessels.
8. Infection in other parts of the body can cause prostatitis by flowing blood to the prostate.
9. Some non-bacterial infections such as mycoplasma, chlamydia, ureaplasma and trichomonas can cause prostatitis.
10. Holding urine has been one of the pathogenic factors of many diseases, including prostatitis. Because once the bladder is full, there will be urination, so you should urinate immediately. Holding urine will cause the urine to flow back into the prostate. If the urine enters the prostate through reverse flow, some crystalline substances (such as salts) in the urine will deposit on the prostate tissue, and form stones around the amyloid, epithelial cells, purine, cholesterol, citric acid, etc. in the glandular duct, thus causing prostatitis.
Etiology and pathology of prostatitis
Prostatitis is the inflammation of prostate glands and glands caused by bacteria, viruses and other pathogens. Bacterial prostatitis can be divided into specificity and non-specificity. The specificity is usually tuberculosis and gonorrhea, and non-specificity is more common in gram-negative bacteria (such as Escherichia coli, Klebsiella, Proteus, etc.), staphylococcus aureus and enterococcus. The route of infection can spread directly through blood, lymph or urinary tract, especially the latter.
This disease and urinary tract infection are cause-and-effect each other. The bacteria of posterior urethral infection can enter the gland retrogradely through the prostate tube. Drinking, suffering from cold, cycling, indulgence, perineal injury, indwelling catheterization. The operation of urethral instruments is the inducement.
In the acute stage, the lesions were localized or diffuse, with gland hyperemia and edema, serous fibrous, bloody or purulent exudation, and inflammatory cell infiltration in the acinus and surrounding interstitial tissue. There are delamination and cell fragment clots in the gland duct. In severe cases, local multiple small abscesses can be formed and can fuse to form prostate abscess.
Chronic prostatitis is characterized by less inflammatory exudation and chronic inflammatory changes around the acinus. Some of the gland tubes are blocked by pus and epithelium, and the drainage is not smooth, leading to the expansion of the acinus, so it has a soft feeling. Fibrous tissue hyperplasia is obvious in some glands, the glands shrink and harden, the lesions extend to the posterior urethra and bladder neck, making the bladder neck sclerotic and causing dysuria.
