Myth 1: Over-diagnosis
The main manifestations of chronic prostatitis are urinary symptoms (frequent, urgent, incomplete, bifurcation of urine, etc.) and painful symptoms (lower abdomen, perineum, scrotum, etc.), a few affect sexual function, and very few briefly affect fertility.
The diagnosis of prostatitis is mainly symptoms + prostate fluid examination. Bacterial culture of urine and prostate fluid (4-stage method or 2-stage method) can be added for those with increased white blood cells in prostate fluid.
The fact that some medical institutions and doctors blindly label most unrelated diseases and symptoms (such as erectile dysfunction, premature ejaculation, seminal fluid non-liquidity, weak spermatozoa, etc.) as “prostatitis” not only increases the economic and psychological burden of patients, but also delays the treatment of primary diseases (sexual dysfunction, infertility, etc.).
The second misconception: excessive treatment
The actual fact is that you will 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 should take a comprehensive approach to chronic prostatitis, with oral medication being the main focus. Although there are numerous treatments or medications, none of them can achieve the goal of treating all patients or relieving all symptoms.
The goal of treatment for chronic prostatitis is primarily to relieve pain and improve urinary symptoms and quality of life.
Invasive treatments for prostatitis (such as prostate injections, closures, and urethral irrigation) have uncertain therapeutic effects, but may damage the prostate and urethra, with fibrosis of the prostate tissue and urethral strictures occurring.
Myth 3: Large, long-term, repeated use of antibiotics
According to a number of studies, only about 5-10% of chronic prostatitis has a clear bacterial infection that requires oral antibiotic treatment.
The China Prostatitis Diagnosis and Treatment Guide says that antibiotic treatment for chronic prostatitis should be based on bacterial culture (4-stage method or 2-stage method) of the lower urinary tract (bladder, urethra and prostate) and drug sensitivity testing, and a comprehensive analysis of the ability of the drug to penetrate the prostate (reach the glandular ducts and kill bacteria) should be chosen.
Current research has found that fluoroquinolones (ofloxacin, levofloxacin, etc.) have the strongest ability to penetrate the prostate, and penicillin and cephalosporins have a weak ability to penetrate.
Some hospitals, doctors, patients a large number (multiple drugs), long-term (often in months, or even more than a year), repeatedly blindly use antibiotics, the result is that the more resistant bacteria used, only the only sensitive drugs left – vancomycin, so that the occurrence of serious bacterial infection when no drugs available dangerous situation.
The actual fact is that there are four types of prostatitis: acute, chronic, bacterial, non-bacterial, asymptomatic, etc. The majority of prostatitis is not a bacterial infection, and even if there are bacteria, they are mainly staphylococcus and E. coli, which are not infectious and will not be transmitted to the woman.
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.
The treatment of prostatitis, in addition to taking medication, requires regular semen emission (1-2 times/week).
The actual fact is that you can’t get a lot of money from the internet.
The prostate gland is enveloped, but the advertised mechanism for limiting drug penetration is irrelevant. Many drugs can enter the prostate tissue and glandular ducts and reach the therapeutic concentration required, such as fluoroquinolones (ofloxacin, levofloxacin, etc.) and minocycline, azithromycin, etc. From current observations, invasive treatments of the prostate, such as injections, ablation, laser, and instillation, have more risk than efficacy.
Myth 7: Untreated prostatitis can turn into prostate hypertrophy and prostate cancer
The current research results have not found a direct relationship between prostatitis and prostate hypertrophy and prostate cancer, nor is there a clear relationship between the timing, method and course of treatment of prostatitis and prostate hypertrophy and prostate cancer.