In recent years, with the increase of life and work pressure, prostatitis as a common urological disease, seriously affect the physical and mental health of male friends.
So, why are male friends vulnerable to prostatitis? There are several reasons for this.
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1, type I prostatitis (acute prostatitis): sudden onset, often manifested as fever, urinary frequency, urinary urgency, painful urination and difficulty in urination, may be accompanied by pain in the lower abdomen. It is often caused by bacterial (E. coli, Staphylococcus aureus, Pseudomonas, etc.) bloodstream infection or retrograde infection through the urethra.
2, type II prostatitis: often manifested as recurrent episodes of frequent urination, urinary urgency, painful urination. It is often a retrograde infection through the urethra, and the pathogens are mainly staphylococcus, E. coli, enterococcus, etc.
3. Type III prostatitis: there is often pain around the anus, lower abdomen, lumbosacral area, penis, and urinary symptoms often manifest as frequent, urgent, painful urination and increased nocturia. There may also be sexual dysfunction. It is often caused by specific pathogenic infections, such as chlamydia and mycoplasma infections, as well as poor urination.
4, type IV prostatitis: no clinical symptoms, often found in the prostate fluid examination pus balls.
Clinical diagnosis of prostatitis.
1, typical symptoms: such as urinary frequency, urinary urgency, etc.
The actual prostate gland is not a large, painful place to touch, and the local temperature is elevated, so massage of the prostate gland is contraindicated, otherwise the infection may spread. type II and type III prostates are enlarged, soft or uneven in texture.
3. Prostate fluid examination: normal prostate fluid has <10/HP leukocytes and lecithin vesicles evenly distributed throughout the field of view. When leukocytes >10/HP and lecithin vesicles are reduced, prostatitis can be diagnosed.
4.Urinary routine examination: urinary tract infection can be excluded.
5.Bacteriological examination: segmental urine culture can be used to locate the pathogen.
6, other pathogens detection: the detection of Chlamydia and Mycoplasma in prostate fluid.
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The first thing we need to do is to distinguish the type of prostatitis and then choose the right treatment according to the different types.
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Types II and III.
They should abstain from alcohol and spicy and stimulating food; avoid holding urine, sitting for a long time and riding a bicycle for a long time; pay attention to keeping warm, strengthen physical exercise to enhance body resistance; grasp a controlled and regular sex life and avoid frequent masturbation.
Drug treatment.
1, the most commonly used first-line drugs are antibiotics, the course of treatment after diagnosis is generally 4-6 weeks.
2, a receptor blocker: can relax the smooth muscle of the prostate and bladder and other parts of the lower urinary tract symptoms and pain, commonly used drugs are doxazosin, tamsulosin and terazosin, etc.
3, plant preparations: non-specific anti-inflammatory, anti-edema, promote the bladder forced urinary muscle contraction and smooth muscle relaxation of the urethra and other effects, commonly used drugs such as Pulsatilla, sabal palm and its infusion.
4, non-steroidal anti-inflammatory analgesics: can relieve the pain and discomfort caused by prostatitis.
6, antidepressants and anxiolytics: for patients with chronic prostatitis who have a combination of depression, anxiety and other mood disorders, you can choose to use antidepressants or anxiolytics for treatment.
7, other treatment: such as prostate massage, but prohibited for patients with type I prostatitis.
Type IV: generally does not require treatment.
In short, prostatitis is not terrible, you should face it positively and go to the regular hospital in time.