I. Definition
Prostatitis is a common disease in urology, accounting for the largest proportion of male urological patients under 50 years of age. in 1995 the NIH developed a new classification of prostatitis, Type I: equivalent to acute bacterial prostatitis in the traditional classification, Type II: equivalent to chronic bacterial prostatitis in the traditional classification, Type III: chronic prostatitis/chronic pelvic pain syndrome, Type IV. Asymptomatic prostatitis.
Two, the main symptoms
The main symptoms are.
1, urinary discomfort, such as frequent urination, burning and pain in the urethra during urination.
2, local symptoms: the posterior urethra, perineum and anus at the feeling of swelling and discomfort, squatting, defecation and sitting on a chair for a long time swelling and pain increased.
3, radiating pain: pain is not limited to the urethra and perineum, but can radiate to the thighs and waist, etc.
4. Sexual dysfunction: such as loss of libido, painful ejaculation, premature ejaculation, etc.
III. Treatment
The first step is to perform a clinical assessment to determine the type of disease and select treatment for the cause. Misunderstanding of the disease, unnecessary anxiety, and excessive abstinence can worsen symptoms. The treatment of patients should avoid both over-rendering the harmfulness of the disease to the patient and also avoiding a simple, negative, blindly biased attitude towards the treatment of the disease with antibiotic therapy, and should use The individualized and comprehensive treatment should be adopted.
1, antibacterial 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 choice of antimicrobial drugs should be noted that there is a prostate-blood barrier consisting of a lipid-like membrane between the prostate alveoli and the microcirculation, which prevents the passage of water-soluble antibiotics and greatly reduces the effectiveness of treatment. When prostate stones are present, the stones can become a refuge for bacteria. The above factors make it difficult to treat chronic bacterial prostatitis, which requires a long course of treatment and is prone to relapse.
It is now mostly advocated for quinolones such as ofloxacin or levofloxacin. If ineffective continue with 8 weeks. Relapse and the strain remains the same, change to a prophylactic dose to reduce acute attacks and make the symptoms subside. Long-term application of antibiotics that induce serious side effects, such as pseudomembranous enteritis, diarrhea, and growth of intestinal drug-resistant strains of bacteria, requires a change in treatment regimen. The actual fact is that there is still a clinical debate as to whether or not non-bacterial prostatitis is suitable for treatment with antibacterial drugs. Patients with “aseptic” prostatitis can also be treated with drugs that are effective against bacteria and mycoplasma, such as quinolones, SMZ-TMP or TMP alone, in combination with or at intervals with tetracyclines and quinolones. If antibiotic therapy is ineffective and confirmed as aseptic prostatitis, antibiotic therapy is discontinued. In addition, treatment can be achieved by closing the urethra of the prostate with a double balloon catheter and injecting antibiotic solution from the urethral lumen back into the prostatic duct.
Type I is mainly broad-spectrum antibiotics, symptomatic treatment and supportive therapy. Type II is recommended to be treated with oral antibiotics, choosing sensitive drugs for a period of 4-6 weeks, during which the patient should be evaluated for efficacy in stages. Type III can be treated with oral antibiotics for 2 to 4 weeks before evaluating the efficacy. Type IV does not require treatment.
2.Anti-inflammatory and analgesic drugs
Non-steroidal anti-inflammatory drugs can improve the symptoms, generally using anti-inflammatory pain internal or suppositories, Chinese medicine using anti-inflammatory, clearing heat, detoxification, soft drugs also received a certain effect. Allopurinol can reduce the concentration of uric acid in the whole body and prostate fluid. Theoretically, it acts as a free radical scavenger and also scavenges reactive oxygen components, reducing inflammation and relieving pain. It’s a great way to get the most out of your life.
3.Physical therapy
Prostate massage can empty the prostate ducts of concentrated secretions as well as drain the infection foci in the area of glandular obstruction, so for stubborn cases you can do prostate massage every 3 to 7 days along with antibiotics. A variety of physical factors are used as prostate physiotherapy, such as microwave, radiofrequency, ultrashort wave, medium wave and hot water sitz baths, which are beneficial in relaxing the prostate, posterior urethral smooth muscle and pelvic floor muscles, enhancing antibacterial efficacy and relieving painful symptoms.
4.M-receptor antagonist
For patients with prostatitis with overactive bladder manifestations such as urinary urgency, frequent urination, and increased nocturia without urinary obstruction, M-receptor antagonists can be used for treatment.
5. alpha-receptor antagonists
In patients with prostate pain, bacterial or non-bacterial prostatitis, the tension of the prostate, bladder neck and smooth muscle of the urethra are increased, and the increased pressure in the posterior urethra during urination causes urine to flow back into the prostatic ducts, which is an important cause of prostate pain, prostate stones and bacterial prostatitis. α-receptor antagonists are used to effectively improve prostate pain and urinary symptoms and are important to prevent the recurrence of infection. α-receptor antagonists It is advisable to use a longer course of treatment, so that there is enough time to adjust smooth muscle function and consolidate the efficacy of treatment.
6, prostate massage and heat therapy
The 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 effect and eliminate tissue edema and relieve pelvic floor muscle spasm, etc.
7.Surgical treatment
Surgical treatment can be used for recurrent chronic bacterial prostatitis. Prostate removal can achieve a cure, but it should be used with caution. Since prostatitis usually involves the peripheral zone of the gland, prostate electrosurgery is difficult to achieve a cure TURP can remove stones from the prostate and foci of bacterial infection near the prostatic ducts, beneficial in reducing reinfection of the peripheral zone lesions. Chronic bacterial prostatitis can lead to recurrent urinary tract infections and infertility.
8, other treatments
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.
Four, the necessary health care general knowledge
1, sex (sperm) regular, keep in 2 to 3 times a week, try to arrange in the morning, and then drink a lot of water to flush the urethra.
2, do not smoke, do not drink, eat less spicy, greasy, thick, hairy.
3, increase sleep 1 to 2 hours a day, about 30 minutes of exercise every day (do not drink water 1 hour before exercise, and after medication, 30 minutes after meals to avoid strenuous exercise, so as not to affect the absorption), exercise is best jogging plus more lower body exercise, avoid strenuous exercise and no exercise. In sports, badminton, air volleyball puffs, snapping the ball when the forward leaning, backward, flexion and extension and yoga exercises when the abdomen rotation, squeezing, lifting the anus and other movements, the prostate has a massage effect, can unclog the prostate ducts, so that the prostate fluid secretion, relieve pain and eliminate inflammation.
4, a balanced diet, less and more meals (resolutely not too full, a variety of staple foods, vegetables, fruits, chicken, pork is best), to keep the bowels open. Special emphasis on the impact of dinner on defecation, dinner should be less and early.
5, drink more water, drinking water is best arranged in the morning and noon, do not drink water 2 hours before bedtime.
6, avoid getting cold, especially when bathing. It is very important to keep the temperature of the prostate area.
7. Keep your spirit happy.
V. Prostatitis Questions and Answers
The actual fact is that you will find a lot of white blood cells in the prostate fluid examination, is not prostatitis very heavy?
A: No, the severity of prostatitis is determined by the impact of its symptoms on you, and there is no correlation with the high or low white blood cells of the prostate fluid. 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 can find out if you are a good candidate for the job.
A: There are international standards for determining the severity of prostatitis, mainly based on the patient’s degree of symptoms. If you’re not comfortable with urination, or if you’re experiencing severe pain and discomfort in the lower abdomen and perineum, and if these symptoms have a greater impact on your work life, it means that prostatitis is more serious. If you’re not feeling well, you’ll be able to get a good deal on your own. 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.
3.I have prostatitis, will it affect my sexual function in the future?
A: Most experts currently believe that sexual dysfunction is not related to prostatitis. Especially if you just have sexual dysfunction without urinary discomfort or lower abdominal perineal pain, there is no need to check the prostate; even if you are checked for prostatitis, it will not be the cause of sexual dysfunction.
The actual fact is that there is no evidence that prostatitis directly causes sexual dysfunction. Some doctors over-diagnose prostatitis and exaggerate its dangers by linking all impotence and premature ejaculation to prostatitis. With that, over-treating prostatitis for financial gain and ignoring the diagnosis and treatment of sexual impotence and premature ejaculation results in both a waste of the patient’s money and a delay in the condition, a concept that should be changed.
4, I have prostatitis, will it affect the birth of children?
A: There is generally no impact. The semen lab specimens often show the presence of white blood cells, which means you have prostate inflammation or seminal vesiculitis present. It has been found that there is no correlation between these inflammatory conditions and sperm quality, so it is possible to have children without having to treat the prostate.
The most important thing is to make sure that you have a good understanding of the situation.
A: Prostatitis will not develop into prostate cancer. Prostate cancer is a relatively common tumor in older men and has no connection to prostatitis.
6. I had a high white blood cell count in my prostate fluid at a men’s hospital, but I have no symptoms, do I need treatment?
A: No treatment is needed. 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. The actual fact is that you can find a lot of people who are not able to get a good deal on this.
The actual fact is that you can find a lot of people who are not able to get a good deal on this. The actual fact is that you can’t get into the drug?
A: There is an international consensus that the main treatment for prostatitis is medication, of which more than seventy percent is effective. The actual fact is that you can find a lot of people who are not able to get the best out of your own home. 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. Some doctors emphasize that drugs do not enter the prostate, but their real purpose is to get patients to undergo expensive physical therapy. The purpose of prostatitis medication is to improve the inflammation of the tissues surrounding the prostate and the dysfunction of the bladder and urethra.
8. Can prostatitis treatment ‘break the root’?
A: Prostatitis is curable and can be ‘rooted out’. 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. The first thing to do is to eliminate the misconceptions in the perception of prostatitis, to dispel the concerns and eliminate the psychological anxiety. The actual fact is that you will find a lot of people who have a lot of the same problems as you do, but the psychological fears outweigh the symptoms of prostatitis itself, so be sure to adapt and adjust yourself, and consult a psychologist if necessary. The second thing is to have to listen to the advice of your doctor, pay attention to rest and sleep, avoid being sedentary, control alcohol and spice, do regular anal exercise, do not hold urine and regular sex life and so on. This is a great way to get the most out of your life. The last thing you need to do is to take medication, usually for about 3 months.