Bacterial prostatitis
I. Introduction
Bacterial prostatitis is a non-acute infection of the prostate caused by one or several pathogenic bacteria. As with acute bacterial prostatitis, the causative organisms are Gram-negative aerobic bacteria such as E. coli and Pseudomonas aeruginosa. The clinical manifestations include fever and chills, generalized aches and pains, weakness, loss of appetite and other systemic symptoms and local symptoms such as perineal and anal swelling and discomfort, urinary frequency, urgency, painful urination, difficulty urinating or hematuria, and even urinary closure.
The main pathogenic factors of acute bacterial prostatitis are mainly Escherichia coli, followed by Staphylococcus aureus, Klebsiella pneumoniae, Aspergillus, Pseudomonas spp. The vast majority of these are single pathogenic infections. The majority of these are single pathogen infections. Bacteria or other pathogens infect the prostate and grow and multiply rapidly, mostly bloodstream infections, retrograde infections via the urethra. Acute bacterial prostatitis: mainly broad-spectrum antibiotics, symptomatic and supportive treatment.
II. Etiology
Infectious factors (45%)
1, the main causative factor of acute bacterial prostatitis is mainly Escherichia coli, followed by Staphylococcus aureus, Klebsiella pneumoniae, Proteus mirabilis, Pseudomonas spp. The vast majority are single pathogenic infections.
2, chronic bacterial prostatitis main pathogenic factors for pathogens retrograde infection is dominant, the pathogens are mainly Staphylococcus spp, followed by Escherichia coli, Corynebacterium spp and Enterococcus spp, etc. Prostate stones and urinary reflux may be important reasons for the persistence of pathogens and recurrence of infection.
Bad lifestyle habits (10%)
1, direct pressure on the perineum, cycling, horseback riding, sedentary, etc. can lead to repeated injury to the perineum and prostate congestion, especially with prolonged cycling is most common.
2, sexual life is not normal, sexual life is too frequent, sexual life is forced to interrupt, etc., can make the prostate is not normal congestion.
3, unhealthy lifestyle, alcoholism, greedy food and other bad habits can easily lead to dampness and heat within the genital organs, which accumulate and make them congested and cause sexual excitement.
Medical behavior (20%)
Cold and flu (15%)
Common symptoms
(1) Symptoms: The symptoms of chronic prostatitis are complex. Some patients are asymptomatic and their diagnosis is obtained based on the occasional discovery of asymptomatic bacteriuria. Most patients have varying degrees of bladder irritation (such as frequent urination, urgency, increased nocturia and painful urination) and lumbosacral or perineal discomfort or pain. Chills and fever are rarely seen, and if present, they suggest an acute attack of chronic prostatitis. Myalgia and arthralgia are occasionally present.
(2) Signs: Rectal finger examination of the prostate may be normal, uneven or locally hard. A sensation of friction may be felt if larger prostate stones are present. Occasionally, there may be initial or final hematuria, bloody semen or urethral discharge. It is sometimes complicated by epididymitis.
(3) The pain of bacterial prostate is not limited to the urethra and perineum, but also radiates to its vicinity, with lower back pain being the most common. In addition, the penis, spermatic cord, testicular scrotum, lower abdomen, inguinal area (root of thigh), thighs and rectum can be involved in bacterial prostate patients.
(4) Bacterial prostate can cause loss of libido and ejaculation pain, premature ejaculation syndrome, and affect the quality of semen, bacterial prostate after urination or during stool can also appear urethral bleeding, combined with vesiculitis can appear hematospermia. The actual fact is that you can be able to get a lot more than just a few of these.
(5) Bladder irritation can occur, such as frequent urination, burning and pain in the urethra during urination and radiating to the head of the penis. The bacterial prostate can have mucus and other secretions at the urethral orifice early in the morning, and also a feeling of difficulty in urinating, a feeling of swelling and discomfort in the posterior urethra, perineum and anus, and increased swelling and pain from squatting, defecating and sitting on a chair or stool for a long time.
(6) The symptoms of bacterial prostate vary in severity, and the milder ones can be asymptomatic. However, most patients can see pain or discomfort in the perineum or rectum. The pain can radiate to the lumbosacral region or the pubic bone, testicles, groin, etc. There can be symptoms such as discomfort in urination, burning sensation in urination, and often milky discharge from the urethra.
(7) Bacterial prostate often causes sexual dysfunction, such as decreased libido, impotence, premature ejaculation, excessive seminal emission, hematemesis, painful ejaculation, etc. Bacterial prostate prostatic fluid secretion decreases, which leads to a decrease in the amount of semen, increased viscosity, and a long time spent after discharge of fluid, affecting the survival and vitality of sperm.
Therefore: remind the majority of patients and friends, once the above-mentioned symptoms appear, please promptly seek medical attention.
Our urology department treats prostatitis with integrated treatment of Chinese and Western medicine (Chinese medicine internal, Chinese medicine rectal drip, warm needle, electric needle, acupuncture point injection, acupuncture point buried line, moxibustion) with good effect, which is well received by the majority of patients!