Prostatitis is professionally classified into four types, the first type being acute prostatitis, the second and third types being chronic prostatitis, and the fourth type being asymptomatic prostatitis.
Acute prostatitis often occurs in young and middle-aged men, and can occur due to tiredness, drinking alcohol, and sitting for a long time, or without significant inducements. Sudden onset with obvious symptoms: symptoms include fever or even high fever, chills, urinary tract symptoms (frequent urination, urgency, pain in urination), urinary tract secretions, and in severe cases, a feeling of anal distension, as well as orchitis. Urinary tests indicate an increase in white blood cells.
Chronic prostatitis can occur at various ages, and is not necessarily related to acute prostatitis. "These patients have been ill for a long time, often unable to accurately tell the time of their initial onset, feeling increasingly severe, and presenting various symptoms, mainly including several aspects:"
(1) Urinary tract symptoms: discomfort in the urethra (frequent urination, pain, urgency,), glans discomfort, blood semen (bloody semen)
(2) Local symptoms of the abdomen and perineum: discomfort (swelling, soreness, etc.) in the lower abdomen, pubis, and groin, dampness and abnormal sensation in the scrotum, discomfort in the perineum and anus, discomfort in the inner thighs, discomfort in the lumbosacral region, etc
(3) Systemic symptoms: insomnia, poor spirits, depression, decreased male function, etc. "Patients with chronic prostatitis do not always have these symptoms at the beginning, and the degree of occurrence may not be the same. Therefore, attention cannot be paid at an early stage. Patients often improve through rest and self medication, but there is no thorough treatment. Pathogenic factors persist for a long time, and over time, symptoms worsen and persist.".
The diagnosis is mainly based on the comprehensive judgment of symptom ultrasound examination, and the examination of prostate fluid is only a reference. The number of white blood cells is not directly related to the severity of the disease.
Treatment is mainly comprehensive treatment
(1) Improve lifestyle: living in a decent way, eating a reasonable diet, combining work and rest, healthy and confident,
(2) Etiological treatment: use of antibiotics, adrenergic receptor inhibitors, prostate treatment suppositories
(3) Auxiliary treatment: including sleep improvement, pelvic floor pain treatment, androgen supplementation, etc.
The treatment of chronic prostatitis requires patients to have sufficient understanding and patience, as the treatment may take a long time to achieve results, with large and small effects. It is important not to rush for quick success and instant benefits.