Myth #1: Overdiagnosis. The main manifestations of chronic prostatitis are urinary symptoms (frequent, urgent, incomplete, bifurcated 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 actual fact that some medical institutions, for profit-making purposes, blindly label most unrelated diseases and symptoms (such as erectile dysfunction, premature ejaculation, seminal fluid non-liquefaction, weak spermatozoa, etc.) as “prostatitis” not only increases the economic and psychological burden of patients, but also delays the treatment of the disease. The second misconception is that it is too much treatment. 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. The actual fact is that you should take a comprehensive approach to chronic prostatitis. 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: Heavy use of antibiotics. According to several 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 choice of drugs considering their ability to penetrate the prostate. The current study 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 patients use antibiotics blindly in large quantities, for a long time, repeatedly, with the result that more and more drug-resistant bacteria are used, leaving only the only sensitive drug – vancomycin, so that there is a dangerous situation of no drug available when a serious bacterial infection occurs.
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