Prostatitis is a variety of complex causes and triggers caused by the inflammatory, immune, neuroendocrine involvement of the prostate intricate pathological changes, resulting in urethral irritation symptoms and chronic pelvic pain as the main clinical manifestations of the disease. The clinical manifestations of prostatitis are diverse and may include pain and discomfort in the perineum, suprapubic area, groin area, and genitalia; urethral symptoms are burning sensation during urination, urinary urgency, urinary frequency, painful urination, and may be accompanied by terminal hematuria or purulent urethral discharge; acute infection may be accompanied by systemic symptoms such as chills, fever, and malaise.
Clinical manifestations
Elevated white blood cell count and positive bacterial culture in blood and urine.
Type II (chronic bacterial prostatitis)
Have recurrent symptoms of lower urinary tract infection (as above) that last for more than 3 months.
Type III (chronic prostatitis)
The main manifestation is pain in the pelvic region, which can be seen in the perineum, penis, perianal region, urethra, pubic bone or lumbosacral region. Abnormal urination can be manifested as urinary urgency, frequency, painful urination and increased nocturia. Due to the chronic pain that remains untreated, patients have a reduced quality of life and may have sexual dysfunction, anxiety, depression, insomnia, and memory loss.
Type IV (asymptomatic prostatitis)
No subjective symptoms, only evidence of inflammation found during examinations concerning the prostate.
Specific diagnostic methods
1. Medical history taking
The first thing to do is to treat your doctor as your family member or best friend and tell him/her about your condition objectively, exaggerating and being embarrassed to say it will not give him/her comprehensive information about your condition.
2, physical examination
It is very important for the diagnosis of prostatitis to be made by rectal examination, and it helps to identify perineal, rectal and neurological lesions or other diseases of the prostate.
3, laboratory tests
(1) Routine examination of prostate massage fluid (EPS): normal EPS has <10 leukocytes/HP, lecithin vesicles evenly distributed throughout the visual field, pH 6,3-6,5, erythrocytes and epithelial cells are absent or occasionally seen. When leukocytes are >10/HP, the number of lecithin vesicles is reduced and there is diagnostic significance. It is important to mention here that a decreased number of lecithin vesicles alone is not a specific indicator for the diagnosis of prostatitis.
(2) Routine urine analysis and urine sediment examination: Routine urine analysis and urine sediment examination are auxiliary methods to exclude urinary tract infection and diagnose prostatitis.
(3) Specific pathogens examination: including Chlamydia trachomatis and mycoplasma examination.
4.Instrument examination
(1) Ultrasound.
Although ultrasound examination in patients with prostatitis can reveal uneven prostate echogenicity, prostate stones or calcifications.
(2) Urodynamics.
(1) Urine flow rate. Urine flow rate examination can give a general idea of the patient’s urination status and help to differentiate prostatitis from diseases related to urinary disorders;
(2) Urodynamic examination, which can detect bladder urethral dysfunction.
Treatment principles
Prostatitis should be treated in a comprehensive manner.
Treatment methods
1.General treatment
Health education, psychological and behavioral counseling have an active role. Patients should abstain from alcohol, avoid spicy and stimulating food; avoid holding urine, sedentary, pay attention to warmth, and strengthen physical exercise.
2.Medication
3.Other treatments
(1) prostate massage prostate massage is one of the traditional treatment methods, research shows that appropriate prostate massage can promote the emptying of the prostate ducts and increase the local concentration of drugs, and thus relieve the symptoms of patients with chronic prostatitis, but not suitable for all patients with prostatitis.
(2) Biofeedback studies have shown that patients with chronic prostatitis have a synergistic dysfunction of the pelvic floor muscles or tension in the external urethral sphincter. Biofeedback combined with electrical stimulation therapy can relax and harmonize the pelvic floor muscles and relax the external sphincter, thus relieving the perineal discomfort and urinary symptoms of chronic prostatitis.
(3) In vitro heat therapy mainly uses the thermal effect produced by a variety of physical means to increase the blood circulation of the prostate tissue and accelerate metabolism, which helps to reduce inflammation and eliminate tissue edema and relieve pelvic floor muscle spasm. It is a good idea to use it for short term relief, but the long term effect is not clear. It is not recommended for unmarried and infertile people.
Special tips for medical consultation.
1. Be sure to go to a regular state-run hospital;
2, accurate and objective to tell your doctor about your condition;
The actual fact is that you will be able to get a lot more than just a few of the most popular and popular items;
6, chronic prostatitis is not a fatal disease, do not exaggerate, do not carry the burden of thought.