Chronic prostatitis is a very high prevalence (4-25%) and very confusing disease, with close to 50% of men experiencing the symptoms of prostatitis at some point in their lives. Because of its etiology, pathological changes, complex and varied clinical symptoms, and its impact on men’s sexual and reproductive functions, it seriously affects the quality of life of patients, making them suffer greatly both mentally and physically.
I. Symptoms
The symptoms of chronic prostatitis patients are often intricate and complex, but there are no more than 3 major categories of symptoms.
1. Pain
The majority of the pain is confined to the location below the waist to above the knee, and individual patients’ pain can extend to the back of the shoulder and upper abdomen. The pain is not severe in most patients, and some patients exhibit discomfort. Pain and discomfort tend to be more obvious the more leisurely the symptoms are, and when the attention is focused on work or other things, the symptoms will be reduced or not felt.
2.Abnormal urination sensation
It can be manifested as frequent urination, urgent urination, painful urination (painful urination in patients with chronic prostatitis can be a painful discomfort in the urethra when urinating or a painful discomfort in the urethra when not urinating, and in some patients pain in the urethra after ejaculation)
3. mental symptoms
Most patients are overly concerned about their condition, and anxiety, depression and irritability arise due to excessive concern about their condition. It is the duty of the primary care physician to try to eliminate the patient’s excessive concern in order to avoid aggravation of the patient’s psychiatric symptoms. If patients feel that the effectiveness of one hospital is not too obvious, they often move around to multiple hospitals for treatment, which not only consumes a lot of time, energy and money, but also increases the mental burden of patients.
In addition, recent studies have found that some patients with chronic prostatitis are accompanied by erectile dysfunction, premature ejaculation, and decreased semen quality. The actual fact is that you can find a lot of people who are not able to get a good deal on this.
The etiology of chronic prostatitis is very complex, and although there is considerable understanding of its many pathogenesis, none of it has been groundbreaking. It is now believed that chronic prostatitis may be due to primary or secondary diseases of the prostate and its surrounding tissues and organs, muscles and nerves, and that even after these diseases have been cured or completely eradicated, the damage and pathological changes caused by it(them) continue to act independently, and that the etiology may center on a combination of infection, inflammation and abnormal pelvic floor neuromuscular activity. Therefore, the role of one factor cannot be emphasized unilaterally. No single organ or single pathogenesis can reasonably explain the many complex clinical manifestations of prostatitis, but is often the result of multiple factors acting together through different mechanisms, one or more of which may play a key role. The development of chronic prostatitis may also be associated with genetic susceptibility and does show some evidence of genetic differences between patients with chronic prostatitis and healthy men.
(1) Acute inflammatory lesions that are severe or not thoroughly treated and turn into chronic prostatitis.
(2) Acute urinary tract infections that are cured or not cured and spread to prostatitis, or those that persist to chronic prostatitis.
(3) The neighboring lesions spread to the prostate through the lymphatic route.
(4) Excessive sexual intercourse, prostate congestion, lower urinary tract obstruction or inflammation, perineum and urethra injury induced prostatitis.
(5) Other parts of the body lesions affect the prostate through bloodstream infection and lead to prostatitis.
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The complications of chronic prostatitis
In the long run, it can obviously lead to male sexual dysfunction, or symptoms such as hematemesis and painful ejaculation.
2, impotence part of the patient due to damp heat injection or long-term inflammation resulting in qi stagnation blood, coupled with the patient’s psychological tension afraid to have sex, long then affect the normal hair of sexual function appears different symptoms of impotence.
3, infertility in infertility, chronic prostatitis is a very important reason, ‘prostatic fluid is an important part of semen, once the prostate inflammation, the glandular secretion due to inflammatory exudate increase, zinc reduction, affect the quality of semen, such as poor liquefaction of semen, resulting in sperm mobility, lower activity rate, affect conception, of course, this effect is not inevitable, the key depends on the The quality and quantity of semen and sperm changes.
4, posterior urethritis chronic prostatitis is mostly combined with posterior urethritis, especially those caused by urinary tract infections. 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.
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8, allergic diseases chronic prostatitis as chronic lesions latent in the body for a long time, can become one of the allergens, causing various types of allergic diseases, such as arthritis, myositis, iritis, neuritis, etc.
9, bladder neck sclerosis such complications are relatively rare.
The kidneys will be reached, and if the resistance is poor, there will be problems with the kidneys, such as nephritis, or uremia.
Four, clinical epidemiological investigation
At present, there are not many epidemiological studies related to prostatitis reported in the literature, the exact epidemiological information and the huge economic burden of the disease on public health is still difficult to accurately estimate, some countries and regions have conducted large-scale epidemiological surveys of chronic prostatitis in the community residents, preliminary results show that: prostate infection can occur in all age groups, with the most adult men, is 50 years old The most common reason for urological visits in men under 50 years of age, but it is inappropriate to rely solely on age factors to determine prostatitis, as many studies suggest that the incidence of prostatitis in middle-aged and older men can also be high. A number of conditions are clearly associated with chronic prostatitis, such as benign prostatic hyperplasia (BPH), inflammatory diseases of the genitourinary tract (especially sexually transmitted diseases), varicocele, hemorrhoids, and dilated prostatic plexus. Although there is no direct evidence that prostatitis is associated with prostate cancer, some retrospective analyses in recent years have shown that there is a correlation between a history of prostatitis and the development of prostate cancer, but the data analyzed in this profile are not perfect and cannot exclude detection bias.