A. How is prostatitis type I (acute bacterial prostatitis) caused?
Acute bacterial prostatitis is caused by an acute infection with bacteria, the most common bacteria being E. coli.
The possible routes of infection are.
1, the pathogenic bacteria through sexual intercourse or catheterization and other urethral device operation from the urethra upstream directly spread into the prostate;
2, cystitis, gonorrheal posterior urethritis and other urinary reflux containing pathogenic bacteria into the prostate duct and tissue;
3, direct diffusion of rectal bacteria or spread through the lymphatic vessels connected with the prostate into the prostate;
4, other parts of the body have foci of infection, such as boils, carbuncles, tonsillitis, dental caries and respiratory tract infections, etc. Bacteria located in these foci of infection enter the prostate through the blood circulation.
The actual fact that bacteria can enter the prostate through a variety of ways, but the body has a variety of defense mechanisms to resist and destroy bacteria, any factor that weakens the body’s defense mechanisms or strengthens the ability of bacteria to invade is the causative factor. The actual fact is that you will be able to get a lot more than just a few of the most popular and popular items in the marketplace.
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2, local symptoms of the prostate gland: mainly pain, mostly manifested as perineum, lower abdomen around the pain and discomfort; once an abscess is formed, the pain intensifies and can also be launched to the penis, testicles, thighs and waist and back.
3, urinary discomfort symptoms: urinary frequency, urinary urgency, painful urination, burning pain in the urethra appear earlier, later there can be difficulty in urination, in serious cases, urine can not be discharged; in addition. Sometimes there is also purulent urethral discharge, cloudy urine is purulent, urine is bloody at the end of urination.
4, rectal irritation symptoms: prostate infection can directly stimulate the rectum, causing pain in the stool, bowel movement is obvious, difficult to defecate, as well as the urethra flow white when defecating.
5. Sexual dysfunction: there can be loss of libido, painful intercourse, painful ejaculation, premature ejaculation, impotence, hematemesis, etc.
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1, serious infection can cause the spread of bacteria throughout the body, sepsis, infectious shock and life-threatening;
The prostate gland is connected to the seminal vesicles, vas deferens and epididymis, and the local spread of bacteria can cause infection in these areas;
3, the foci of infection form abscesses, abscesses to the rectum, perineum broken to form a channel connected with the outside world, and does not heal over time;
4, the infection spreads to the urinary tract, even causing acute pyelonephritis;
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What are the symptoms of chronic prostatitis?
1, lower urinary tract infection syndrome: such as frequent urination, urinary urgency, painful urination, incomplete urination, urethral discomfort or burning during urination, etc. When combined with vesiculitis, hematospermia can occur.
Frequent urination refers to an increase in the frequency of urination and a decrease in the volume of urination. Urinary urgency refers to the urge to urinate and the inability to control oneself. Urinary urgency refers to the feeling of urinary urgency soon after the patient has just urinated, and although he knows that there is no urine or the volume of urine is very small, he still wants to urinate.
2.Bladder forced urinary muscle – urethral sphincter dysfunction: manifested as waiting for urination, bifurcation of urine line, incomplete urination, weakness and other symptoms of urinary tract obstruction in different degrees.
3, abnormal urine color: manifested as a section of urine (such as the anterior, middle and posterior sections) white turbid, in serious cases milk-like, if the section of urine drips on the commode or pants, lime like spots are formed.
4, urethral discharge: manifested as white discharge from the urethra after urination and defecation, commonly known as “urethral drip white”, some patients will also appear in the morning urethral slurry-like or egg white discharge.
5, pelvic floor muscle tension syndrome also known as pelvic pain syndrome: for different degrees of pain or discomfort in the penis, scrotum testicles, groin, perineum, pubic bone, low back, ejaculation pain, etc..
6, abnormal sexual function syndrome: premature ejaculation, seminal emission, decreased libido, and even impotence.
7, mental symptoms syndrome: dizziness and insomnia, anxiety, depression, memory loss, neurosis, etc.
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The symptoms of chronic prostatitis are extremely complex and varied. The patient with chronic prostatitis can have one or more symptoms, or no symptoms at all, i.e. National Institutes of Health (NIH) classification type IV. And while most symptoms of chronic prostatitis lack specificity, pelvic floor discomfort or pain is more characteristic. So the NIH still lists pelvic floor discomfort or pain only as a requirement for diagnosing types II and III, and the symptoms persist for at least 3 months. However, this criterion is still controversial because there are some patients who can have no pelvic floor discomfort or pain in clinical practice. The presence of the above symptoms should not simply be a burden on the mind by worrying that you have chronic prostatitis, but it should be taken seriously and the diagnosis needs to be combined with other laboratory test results and, if necessary, the exclusion of other diseases before a final judgment can be made.