About prostatitis.
1, high incidence, 5-8% in adults, accounting for a larger number of outpatient visits;
2. limited awareness: unclear etiology; complex mechanisms; multiple treatment methods; non-standardized standards;
3, the current state of treatment: serious impact on mental status, doctors do not pay attention, treatment without special methods, lack of patience ;
4, leading to the problem is not thorough research, individual medical institutions on the treatment of exaggerated consequences and effects, and even cause social problems (depression, suicide).
Second, the anatomy, location and function of the prostate
1, morphology and adjacent
The cone-shaped bottom of the garden meets the bladder neck upward, the tip downward to the urogenital diaphragm, 2.5 long, 3.5 transverse diameter, 2.5cm thick, weighing 18g.
2.Structure
The muscle fiber and glandular organ, the glandular body accounts for 70%, the glandular duct has 16~32 openings in the posterior urethra, for many years divided into 5 lobes, anterior middle and posterior lobes on both sides, later divided into central zone, migratory zone, peripheral zone .
3.Function
Exocrine: mainly secrete prostatic fluid, milky white, PH 6.5, accounting for 30% of semen, the composition of ions and low molecular weight substances Zn, citrate, Pro less than 1%.
Endocrine: inaccurate may thyroxine, adrenaline, etc.
The location of the prostate in relation to the urogenital tract
The anatomical characteristics of the prostate gland
Three, prostatitis classification, etiology and treatment
Traditional classification.
Acute bacterial prostatitis
Chronic bacterial prostatitis
Chronic non-bacterial prostatitis (64%)
Prostate pain (31%)
NIH classification (1998 ).
Acute bacterial prostatitis
Chronic bacterial prostatitis
Chronic prostatitis/chronic pelvic pain syndrome
A inflammatory
B non-inflammatory
Asymptomatic inflammatory prostatitis
Etiology.
Urinary reflux theory, sympathetic excitation theory, immune response, bacterial infection, pelvic stasis (3DMRV), psychiatric factors.
Symptoms.
Pain (between anus and scrotum, testicles, head of penis, lumbosacral region, bladder area.
Painful urination or burning sensation, pain after ejaculation, feeling of incomplete urination, frequent urination (feeling of urination again in less than 2 hours)
Treatment.
Propensity scores for various treatment options by members of the International Prostatitis Collaborative:
1, antimicrobials 4.4
2.α-blockers 3.7
3.Repeated prostate massage 3.3
4.Anti-inflammatory drugs 3.3
5.Analgesic treatment (antidepressants, painkillers) 3.1
6.Biofeedback 2.7
7.Botanicals 2.5
8.5- α reductase inhibitors 2.5
9.Muscle relaxants (such as Valium) 2.4
10.Device therapy (TUMT/TUNT/Laser ) 2.2
11.Body therapy 2.1
12.Psychotherapy 2.1
13.Acupuncture 2.0
IV. Common genitourinary problems in young people and their causes
Causes.
1.The cognition of adolescent sexual psychology and sexual knowledge is not comprehensive enough and defective. Not adapted to the special environment of the military, self-adjustment is not enough.
2, the influence of external books and media.
3, the lack of communication between comrades.
V. Prostatitis and urogenital problems prevention and control
1, correct understanding of adolescent sexual psychology, sexual behavior problems, active and timely consultation and treatment, adjust the mindset, avoid carrying the burden of thought.
2, establish a positive outlook on life, values, adapt to the troops this special environment (the concept of dedication to youth, dedication to national defense)
3, improve health care awareness (excessive, nervous), more communication, more communication.
4, the troops strive to improve the health environment, the hospital actively for the troops for the soldiers (careful diagnosis, patient explanation, timely treatment).