The prostate gland is one of the smallest organs in the body, but it is closely related to men’s health and quality of life, such as the high incidence of prostatitis in young adults, prostate hyperplasia and prostate cancer in old age, bringing a greater impact on men’s health and life.
This is why it is also known as the “life gland” of men. The actual fact is that you can find a lot of people who are not able to get a good deal on this.
1. What kind of organ is the prostate gland?
The prostate is located at the bottom of the pelvis, the shape of an upside down chestnut, normal weight of about 20 grams, located under the bladder, before the rectum, the doctor in the rectal examination, forward can touch the prostate, the reason for this is that. The actual fact is that the prostate gland is located below the bladder neck, wrapped around the bladder neck and the urethra, which means that the prostate gland “guards” the upper urethra, so when the prostate gland is diseased, urination is affected first.
2, the onset of prostatitis
Prostatitis is a common disease in young adult men, and about 50% of men will be affected by prostatitis at some point in their lives.
The incidence of prostatitis is so high, but the treatment effect is not satisfactory, leading to the emergence of various kinds of prostate specialist clinics and medical institutions in society, many patients run around, spend a lot of money, but do not get effective treatment.
What types of prostatitis are there?
The latest CUA guidelines (October 2011 edition) divide prostatitis into four types, different types of prostatitis have different clinical manifestations and causes, and also correspond to different treatment measures.
Type I, acute bacterial prostatitis: rare. It can manifest as a sudden febrile illness with persistent and pronounced symptoms of lower urinary tract infection, elevated white blood cell count in the urine, and positive bacterial culture in the blood or (and) urine. Pathogenic infection is the main causative factor.
Type II, chronic bacterial prostatitis: only 5-8% of cases. There are recurrent lower urinary tract infection symptoms lasting more than 3 months, elevated leukocyte count in EPS/semen/VB3, and positive bacterial culture results. Mainly pathogenic infections, but with a more resistant organism or (and) less virulent pathogens. Prostate stones and urinary reflux may be important reasons for the persistence of pathogens and recurrence of infection.
Type III, chronic prostatitis/chronic pelvic pain syndrome: 90-95% of patients belong to this type. The pathogenesis is unknown and the etiology is very complex: most scholars believe that its main etiology may be a combination of pathogenic infection, inflammation and abnormal pelvic floor neuromuscular activity.
Type IV, asymptomatic prostatitis.
4, what are the triggers of prostatitis?
The important triggers include: alcoholism, spicy food, inappropriate sexual activity (including a history of unclean sex), sedentary causing long-term congestion of the prostate; cold, overwork resulting in decreased body resistance or idiosyncratic body; long-term chronic squeezing of the pelvic floor muscles; catheterization and other medical injuries.
5. What are the common causes of the most common type-III prostatitis?
1. pathogenic infection: this type of patient although routine bacterial examination failed to isolate the pathogen, but still may be related to certain bacteria, Chlamydia trachomatis and mycoplasma and other pathogens infection.
2. Urinary dysfunction: Some factors cause frequent excessive contraction of the urethral sphincter, leading to bladder outlet obstruction and residual urine formation, causing urine to flow back into the prostate, which not only brings pathogens into the prostate, but also directly stimulates the prostate, inducing sterile “chemical prostatitis”, causing abnormal urination and pain in the pelvic region.
The actual fact is that you can find a lot of people who have been in the business for a long time. These changes in mental and psychological factors can cause involuntary nerve dysfunction, resulting in posterior urethral neuromuscular dysfunction, leading to pain in the pelvic region and dysfunctional urination. Eliminating mental tension can make the symptoms ease or heal.
4. Neuroendocrine factors: local pathological stimulation of the prostate and urethra triggers spinal reflexes through the afferent nerves of the prostate, causing vesicourethral dysfunction and leading to abnormal contraction of the perineum and pelvic floor muscles, resulting in involvement pain in the corresponding areas other than the prostate.
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6, What are the symptoms of prostatitis?
Type I prostatitis is easy to diagnose: often sudden onset, manifested by chills, fever, fatigue and weakness and other systemic symptoms, accompanied by pain in the perineum and suprapubic, urinary tract irritation symptoms and difficulty urinating, and even acute urinary retention.
Type II and III have similar clinical symptoms, mostly including pain and abnormal urination. Type II may manifest as recurrent lower urinary tract infections. Type III mainly manifests as pain in the pelvic region, which can be seen in the perineum, penis, perianal area, urethra, pubic bone or lumbosacral area. Urinary abnormalities may manifest as urinary urgency, frequency, painful urination and increased nocturia. Due to chronic pain that remains untreated, patients have a reduced quality of life and may have neurological symptoms such as anxiety, depression, insomnia, memory loss, and sexual dysfunction. Type IV, asymptomatic.
7, what tests are needed for patients with prostatitis?
A detailed history and comprehensive physical examination (focusing on the genitourinary system), urinary routine, EPS routine examination, and if necessary, proto-localization examination: “four-cup method” or “two-cup method”, pathogen culture (bacteria, chlamydia, mycoplasma, etc.) The actual fact is that the actual actual person is not a person who is not a person.
What are the treatment measures for 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 main goal is to relieve pain, improve urinary symptoms, and improve quality of life. The degree of symptom relief is the main basis for evaluating the effectiveness of treatment.
Type I: The main treatment is broad-spectrum antibiotics, symptomatic treatment and supportive treatment.
Type II: Treatment is mainly oral antibiotics for 4-6 weeks, during which the patient should be evaluated in stages of efficacy. If the efficacy is unsatisfactory, other sensitive antibiotics can be used instead. Alpha-blockers can be used to improve urinary symptoms and pain.
Type IIIA: Oral antibiotics can be given for 2-4 weeks, and then the decision to continue antibiotic therapy is based on its efficacy feedback. Both type IIIA and IIIB can be used to improve urinary symptoms and pain with alpha-blockers, non-steroidal anti-inflammatory analgesics, botanicals and M-blockers.
9, prostatitis patients should properly understand and pay attention to the matters?
Chronic prostatitis is a fairly common, non-life-threatening disease, and some patients may go into remission on their own. You should go to a regular hospital specialist, follow the doctor’s orders, and follow up on time, prostatitis can be cured. At the same time, it is important to avoid running east and west, delaying treatment and receiving unnecessary over-treatment.
The actual fact is that you will be able to get a lot more than just a few of the most popular and most popular items. Regular sexual life can be performed. After the treatment is over, paying attention to the above matters will help prevent the recurrence of symptoms.