50% of men may have had prostatitis.
Prostatitis is indeed one of the most common diseases in adult men. Some data show that about 50% of men will be affected by prostatitis at some point in their lives.
Currently, according to the latest classification methods, prostatitis is divided into the following four main categories: acute bacterial prostatitis (Type I), chronic bacterial prostatitis (Type II), chronic prostatitis/chronic pelvic pain syndrome (Type III), and asymptomatic prostatitis (Type IV).
Among them, in chronic prostatitis/chronic pelvic pain syndrome (type III), there are further subtypes IIIA (elevated white blood cells) and IIIB (white blood cells in normal range) according to whether the white blood cells are increased (judged by prostate massage fluid, urine after massage and semen examination).
If you do not adhere to the treatment, you will have more trouble later on.
”Although many people have had prostatitis, not all of them need to be treated.” So says Shang Xuejun.
For type I and type II acute and chronic prostatitis, the main causative factors are pathogenic infections, such as Escherichia coli, Staphylococcus aureus and so on, treatment should be based on antibiotics.
For example, for type I acute prostatitis, the use of antibiotics is necessary and urgent. Especially at the beginning, in order to relieve fever and other uncomfortable symptoms as soon as possible, the patient may need to be given a drip, and after the uncomfortable symptoms improve, then the patient can switch to oral medication.
It should be emphasized that “the course of antibiotics should reach more than 4 weeks, and even for those with mild symptoms, oral antibiotics should reach 2 to 4 weeks”, Professor Shang Xuejun reminded. Some patients feel better after the symptoms, gradually did not adhere to the medication, the result may lead to recurrence of the disease, and even evolved into chronic prostatitis.
The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact is that it is not easy to penetrate the prostate gland, so antibiotic treatment should be maintained for at least 4 to 6 weeks, during which time if the efficacy is not good, you have to change other sensitive antibiotics, “but it is not recommended to inject antibiotics into the prostate gland”, said Professor Shang Xuejun.
In addition, some prostate discomfort symptoms, such as urinary discomfort, pain and other more obvious people can choose alpha-blockers (such as terazosin, doxazosin and other azosin drugs), or choose plant preparations, non-steroidal anti-inflammatory analgesics to relieve.
Of course, there is one more essential point – chronic prostatitis patients should avoid spicy and stimulating foods and beverages, abstain from alcohol, avoid holding urine, sedentary, regular regular semen discharge; in addition, appropriate hot water sitz bath also helps to relieve painful symptoms.
With antibiotics, more than one mind.
Type III chronic prostatitis/chronic pelvic pain syndrome is the most complex prostatitis and the most controversial. Most scholars believe that its primary etiology may be a combination of pathogenic infection, inflammation, and abnormal pelvic floor neuromuscularity.
Patients are often unable to detect the pathogen despite repeated routine bacterial tests (by prostate massage or urine, etc.), but symptoms such as frequent urination, incomplete urination or perineal pain and discomfort are recurrent and uncomfortable.
At present, in the clinical practice of treating prostatitis, antibiotics are still its first line of medication, but in fact, only about 5% of chronic prostatitis is clearly infected.
Therefore, for type IIIA chronic prostatitis, because the leukocyte level does have elevated, you can try to use antibiotics to treat it, but most of them are also empirical. You can take oral antibiotics such as fluoroquinolones for 2 to 4 weeks, and then decide whether to continue using them based on the efficacy – only if the patient feels that the symptoms are reduced with the antibiotics Continued use is recommended, but a total course of treatment of 6 weeks is appropriate. For type IIIB, antibiotics are not recommended because the white blood cells are not elevated.
It is worth mentioning that many patients who go to some so-called male or urological hospitals are found to be suffering from prostatitis, and the medication prescribed by the doctor to the patient is often thousands of dollars or even several thousand dollars. It is worth thinking about whether there is something fishy about this.
The actual fact is that you can find a lot of people who are in need of antibiotic treatment. After all, as mentioned above, doctors need to judge whether to continue using antibiotics or switch to antibiotics based on the patient’s feedback after taking the medication. Therefore, it is important for patients to be more careful when visiting the doctor.
The actual fact is that you can find a lot of people who have been diagnosed with chronic prostatitis, not all of them need to be treated, but the key is to see if the prostatitis has an effect on your life and work.
The experts reminded.
The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact is that you can’t get a good deal on your own.