I often have many young male patients asking me in the clinic: I am so young, how can I get prostate disease in the elderly? It seems that these friends are confusing some concepts. The most common two types of prostate disease are prostatitis and prostate enlargement. The former is easy for young people to get, and the latter is easy for older people to get. The actual fact is that you can find a lot of people who are not able to get a good deal on this. 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. Prostatitis is generally considered to be a complex urinary tract infection. There are many factors acting in it. For example, infection of the prostate can be triggered by colds, exertion, low resistance, alcoholism, spicy diet, and sedentary lifestyle. These are the causative factors and the presence of a previous focal point of infection in a part of the body such as having tonsillitis, otitis media, or the presence of a urinary tract infection that causes retrograde infection is the underlying cause. Acute bacterial prostatitis is a typical acute infection of the prostate gland, manifested by a significant increase in the number of urination, short even a few minutes to go to the toilet; painful urination, urinary urgency, pain on the pubic bone and perineum; severe inability to urinate. This is accompanied by obvious systemic symptoms (bacteremia) such as fever, chills, pallor and cold sweat. The patient should immediately go to the hospital for anti-inflammatory treatment; individual patients may require catheterization or suprapubic cystostomy to help with urination. Chronic prostatitis is divided into bacterial and non-bacterial Patients have a long medical history, usually more than 3 months. They may experience pain in the lower abdomen or scrotum or back pain, frequent urination or discomfort during urination, or pain during ejaculation. At the time of the visit, the physician will collect prostate fluid or retain 4 cups of urine for testing. When bacteria can be cultured or bacterial infection is considered, anti-inflammatory treatment is usually long, 15-30 days for a course of treatment, 2-3 consecutive courses of treatment. Sometimes it is very difficult to find bacteria, the doctor will give a comprehensive treatment with the symptoms, in addition to anti-inflammatory treatment often need to symptomatic treatment, such as improving urinary frequency, urinary urgency need to use a-blockers, some plant preparations (flavonoid permethrin), Chinese medicine (clear heat and dampness), etc.. Prostate pain When there is no pathological bacteriuria or white blood cells in the urine specimen after prostate massage, but there is still painful discomfort in the perineum, lower abdomen or lower back, your doctor may tell you that this is prostate pain. Because this condition may not be caused by a pathological state of the prostate, perhaps simply because of an inflammatory nerve response in the tissues surrounding the prostate, it is sometimes called pelvic floor myalgia or chronic pelvic/perineal pain syndrome. Short-term antimicrobial therapy (4 weeks) is given and if it is ineffective, it should be discontinued immediately and given with alpha-blockers (terazosin), analgesics, and muscle relaxants (Valium), which can be applied on a case-by-case basis, preferably in combination at the same time. If they still do not work, further investigations should be performed. Some of these patients may have diseases such as interstitial cystitis. However, there is no certainty how some patients are examined. It is because this disease is actually also a very complicated and difficult to treat. My experience is: adjust the habits of life, adjust the psychological state, breeze through it, and the troubles will go away. About how to adjust life, improve the psychological, another space to talk about.