Why is it difficult to cure chronic prostatitis?

  Chronic prostatitis is a frequent and common disease in men. This disease has four major manifestations: abnormal urination (frequent urination, urgent urination, waiting for urination, difficulty in urination, discharge from the urethra, nocturnal urination), pain around the prostate gland (distension, soreness and discomfort in the small abdomen, both groins and waist), changes in sexual function (loss of libido, premature ejaculation, impotence, sexual dysfunction, infertility) and neurological weakness (insomnia, dreaminess, depression, fatigue and dizziness, memory loss).   The treatment of prostatitis is currently a fairly active clinical topic. I have searched online, from 95 to 99 years, there are 1436 papers about prostatitis in China, involving nearly 30 kinds of treatment methods, including: Chinese medicine prescriptions and evidence-based treatment, Western medicine, combined Chinese and Western medicine treatment, direct injection of Chinese medicine or Western medicine into the prostate, injection of drugs in the vas deferens, sacral tube closure, Chinese and Western medicine rectal infusion or drip, urethral drug infusion, direct current drug ionization, acupuncture, ear acupuncture, acupuncture points, and acupuncture points.   People have tried various methods that do give hope to some patients, but the treatment of a significant number of people is still in the process of being figured out.     The reason why it is difficult to cure prostatitis is mainly related to the complex structure of the prostate: the prostate is a tubular gland located at the bottom of the bladder, adjacent to the rectum, from which the urethra passes, semen is also excreted from the prostate in the ejaculatory duct in the posterior urethra, so the prostate is a trigeminal junction of the urethra and the ejaculatory duct. The prostate disease naturally affects the urinary and reproductive systems, and inflammation of the urinary and reproductive systems can therefore affect each other. There is also a theory that prostatitis is caused by urine flowing back into the prostate.  In addition, the outer layer of the prostate gland is wrapped in a membrane that gets its nutrients through capillaries, which is difficult to reach with large molecules; the outer peripheral area of the prostate gland has thirty to fifty main glandular ducts that open alone in the posterior urethra and secrete prostatic fluid day and night, which has a narrow, long, multi-branched shape and is the site of prostatitis. The most common cause of prostatitis is the entry of bacteria (or other pathogenic microorganisms) into the glandular cavity through the mouth of the ducts, where they multiply and release toxins. The situation is similar to the deep abscesses that sometimes occur after surgical procedures, which can only be cured quickly after the pus is drained.  This is the reason why it is so important to have a good idea of what you are looking for.