Prostatitis varies according to age: Prostatitis refers to acute and chronic inflammation caused by prostate specific and non specific infections, resulting in systemic or local symptoms. Prostatitis can be divided into nonspecific bacterial prostatitis, idiopathic bacterial prostatitis (also known as prostate disease), specific prostatitis (caused by gonococcus, tuberculosis, fungi, parasites, etc.), nonspecific granulomatous prostatitis, prostatitis caused by other pathogens (such as viruses, mycoplasma, chlamydia, etc.), prostate congestion, and prostate pain.
When diagnosing and treating chronic prostatitis and other pelvic inflammatory and congestive diseases in men, many doctors often require patients to receive appropriate hot water sitz baths without any special treatment, and even treat them with hot water sitz baths as the only method of treatment. The principle of hot water sitz bath is very simple. It can increase the local temperature of patients, relax muscles, expand blood vessels, accelerate blood circulation, promote the dissipation and absorption of local inflammatory exudates, and can make patients feel warm and comfortable, alleviate clinical symptoms.
Hot water sitz baths do not require special equipment, and can be performed by patients in their own homes. They are simple and convenient, and are effective adjunctive measures for the treatment of chronic prostatitis. The method of prostate sitz bath is to add nearly half a basin of water to a large basin. After the patient has drained his or her urine, he or she will sit on his or her hips in the basin. Generally, the water temperature is required to be between 40-42 ℃, and each sitz bath lasts for 15-30 minutes. Hot water can be added halfway to maintain the temperature of the water. Sit for 1-2 sitz baths daily, and persist in treatment until prostatitis is cured.
"However, as hot water sitz baths may have adverse effects on the testicles of patients, they should generally be prohibited for unmarried and childless young men, as prolonged hot water sitz baths can increase the temperature of the testicles, thereby impeding their spermatogenic function. In severe cases, they can also cause changes in other functions and structures of the testicles, which can cause the testicles to never recover.".
In addition, this acquired testicular injury may lead to a decrease in testosterone secretion, which may lead to the early emergence of partial androgen deficiency syndrome (PADAM) in middle-aged and elderly men. Therefore, it is also important to be cautious when using hot water hip baths in patients with chronic prostatitis.
In fact, testicular damage caused by high temperature in life is more common and easily overlooked. For example, long-term systemic febrile diseases, long-term exposure to high-temperature jobs such as cooks, boiler workers, welders, blacksmiths, high-temperature workers, long-distance bus drivers, and even long-term saunas and wearing tight underwear can increase the temperature of the testicles, which is very detrimental to testicular sperm production.