Prostatitis refers to the local and systemic symptoms caused by acute or chronic inflammation of the prostate due to non-specific infection. There are generally four types: Type I: acute bacterial prostatitis. Type II: Chronic bacterial prostatitis. Type III: Chronic non-bacterial prostatitis. Type IIIA: Chronic non-bacterial inflammatory prostatitis. Type IIIB: Chronic non-bacterial non-inflammatory prostatitis. Type IV: asymptomatic prostatitis.
Chronic prostatitis (CP), also known as chronic prostatitis-like syndrome, is a group of syndromes, is a common and frequent disease in urology, including type II, type III and type IV, according to statistics in Europe and the United States, the pathological prevalence of adults can reach 35%-98%, the clinical incidence in the general male population may reach 5%-8.8%, in the United States each year chronic prostatitis. In the United States, 2 million people visit the clinic for chronic prostatitis each year. According to domestic data, its pathological incidence is about 24.3%, its first peak age of onset is 30-39 years old, about 34.4%, and another peak is 60-69 years old, the incidence is about 36.4%.
The clinical course of chronic prostatitis is a gradual and complex process, more often than not, sexual dysfunction, changes in fertility, long-term dull pain, changes in urination, neuropsychological changes, etc., which can affect marriage and family, so prostatitis is not only a medical problem, but also a serious social problem.
How is chronic prostatitis caused?
The reason for chronic prostatitis is still not completely clear and cannot be explained by a single theory. The analysis is related to the following factors.
I. Prostate congestion.
The prostate gland is congested due to a variety of different reasons, especially passive congestion, which is an important causative factor. Non-infectious, non-microbial prolonged congestion can create a non-specific inflammatory response. Congestion is commonly seen in the following situations.
1, sexual life is not normal: the sexual impulse that occurs during sex is bound to make the prostate engorged with blood. 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 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 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.
2, direct pressure perineum: cycling, horseback riding, prolonged sedentary, etc. can make the prostate congested, especially cycling for the most part.
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5, cold and cold: the prostate is rich in a-adrenergic receptors, after the cold, can cause sympathetic nerve activity, resulting in increased pressure in the urethra, preventing excretion, the prostatic duct also prevents excretion due to contraction, producing depressed congestion.
Second, microbial infection.
A variety of microorganisms, such as bacteria, protozoa, mycobacteria, viruses, etc. can become the infection pathogen, but bacteria are the most common. The invasive pathways of bacteria include.
1, bloodstream infection: more than 90% of bacterial prostatitis can find foci of infection.
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3, direct spread: bacteria in the urethra can directly lead to prostate infection.
Three, autoimmune factors: chronic prostatitis and autoimmune factors have some relationship.
Four, allergic reaction to a certain virus.
Five, psychosomatic medical factors: some data show that this factor is up to 50%.
In conclusion, the cause of chronic prostatitis is multifaceted and cannot be emphasized one-sidedly on one factor, for specific patients should be analyzed depending on different situations.
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1, systemic symptoms are: chills, general weakness, easy fatigue, insomnia, increased nervous excitability, etc., chattering and moaning about it.
2. Local symptoms include: prostate pain, changes in prostate size and hardness, increased leukocytes in prostate fluid, decreased phospholipid vesicles, ejaculation pain, pelvic pain, itchy abdomen, itchy urethra, perineum, anus, abnormal sensation (urethral ankle sensation, cold and itchy genitals), pathological discharge from urethra, hematospermia, interrupted urination, changes in urethra after seminal mound, changes in seminal vesicles, rectal pain.
3. Functional changes: early erectile function enhancement, later erectile weakening, premature ejaculation, unsatisfactory orgasm, pathological (painful) orgasm, decreased libido, automatic abortion of the lover, infertility, changes in the number of ejaculations, pathological changes in sperm (reduced sperm or increased malformed sperm), primary infertility, secondary infertility.
Does chronic prostatitis cause sexual dysfunction?
Many patients with chronic prostatitis will have varying degrees of sexual dysfunction, such as seminal emission, premature ejaculation, impotence, etc. Will chronic prostatitis lead to sexual dysfunction?
Theoretically, chronic prostatitis does not directly damage the neurovascular function of penile erection and will not cause impotence, but because of the long-term lumbosacral and perineal discomfort, it often causes psychological pressure on the patient, resulting in depression and worry, especially those patients who do not understand or know anything about the disease, often worry about their sexual function out of the question, and over time the mental factors can make the patient’s libido decrease, and the. Really appear functional sexual dysfunction.
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First of all, we should recognize that when inflammation occurs in the prostate, the secretion of prostatic fluid decreases, thus reducing the amount of semen and interfering with the survival and activity of sperm, as well as decreasing the activity of enzymes in the prostatic fluid, increasing the viscosity of semen and prolonging the liquefaction time. In addition, the presence of inflammation can also lower the pH of semen and cause the body to produce anti-sperm antibodies, which can kill sperm. The prostatic fluid contains a large number of bacteria and bacteriomycin due to the presence of inflammation, which can deplete the nutrients of seminal plasma, thus affecting the survival of sperm. It is true that having chronic prostatitis may have an effect on fertility, but from clinical cases, most patients with chronic prostatitis have normal fertility, and a few patients are combined with infertility at the same time, but there are many causes of infertility, such as overemphasis on chronic prostatitis, often ignoring other causes, thus delaying treatment, and possibly adding to the patient’s fear of the disease. 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 etiology of prostate cancer is very different from that of other cancers, and dysregulation of androgens is directly related to the development of prostate cancer. Professor Wu Jieping conducted a survey of the late Qing Dynasty eunuchs still alive in Beijing after liberation and found that they had no cases of prostate cancer, and worldwide studies have also found that castrated people do not develop prostate cancer, suggesting that androgens play an important role in the development of prostate cancer. It is now recognized in world medicine that blocking androgens has a good therapeutic effect on prostate cancer.
Why are most chronic prostatitis antibacterial agents ineffective?
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Western medicine divides prostatitis into four types, each with its own principles and methods of treatment: type I prostatitis is mainly broad-spectrum antibiotics, symptomatic treatment and supportive therapy. Type II prostatitis treatment is based on oral antibiotics, choosing sensitive drugs for a 4-6 week course of treatment. A receptor blocker can be used to improve urinary symptoms and pain. Type III prostatitis: oral antibiotics can be taken, and then the decision to continue antibiotic therapy is based on its efficacy feedback. Recommended are a-blockers, botanicals, NSAIDs, and M-blockers. Type IV prostatitis: treatment is usually not required.
How to prevent chronic prostatitis?
The actual fact that there is no special treatment for chronic prostatitis, and chronic prostatitis is often prone to recurrence, so the prevention of this disease should be mentioned as an important position, which requires close cooperation between doctors and patients, especially important is the patient’s own conditioning.
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4, avoid smoking and alcohol, do not eat spicy and stimulating food.
5, drink more water, do not hold urine, do not sit down, do not ride a bicycle for a long time, in order to keep the urinary tract open, and conducive to the discharge of prostate secretions.
6, for patients who have been cured of chronic prostatitis, they should also take a hot water bath every night to improve the blood flow of the prostate and prevent the recurrence of inflammation.