Post Date December, 02 2023
Middle-aged and elderly people are the high incidence group of prostate pain. We should prevent it in time, learn more about prevention knowledge, and go to the hospital for examination. The doctor said that I have prostate pain. I want to ask why I have prostate pain, what is the cause of prostate pain, and how to prevent it?
The first cause of prostate pain: urodynamic studies show that the symptoms of prostate pain are mainly mediated by the spasm of the external urethral sphincter caused by the sympathetic nervous system or sympathetic nerve and peripheral nervous system. Some scholars also believe that the clinical manifestations and video urodynamic abnormalities of patients with prostate pain are mostly related to the signs of bladder neck and prostate urethral spasm. The decrease of urine flow rate in patients is related to the incomplete relaxation of bladder neck and the abnormal stricture of the urethral segment directly adjacent to the external sphincter of urethra. Bladder neck or urethral spasm increases the pressure of the prostate and urethra, which can lead to reflux of urine in the prostate during urination, which can further cause chemical prostatitis (non-bacterial prostatitis).
The second cause of prostate pain: symptoms of some patients with prostate pain may be related to mental depression and hyperactivity. Most scholars believe that stress response is the original cause of prostate pain. Many patients with prostate pain admit to stress and emotional tension. Even if stress reaction is not the cause of prostate pain, it is also an effect; However, as the cause of prostate pain, the mechanism of stress response is not clear. The failure of drug treatment is undoubtedly an emotional disturbance for some patients with prostate pain. The bladder neck and prostate smooth muscle are rich in a-adrenergic receptors, and cold may aggravate symptoms, or may be related to perineal muscle group fatigue caused by long sitting, running, cycling or other sports activities. Traditional Chinese medicine believes that this disease is related to the liver and kidney meridians, or the liver and kidney are insufficient, feeling cold and dampness, gathering in the front yin, cold is stagnation, the meridians are blocked, and bladder gasification is unfavorable; Either because of anger and anxiety, or because of sitting for a long time, the liver qi is not good, the qi stagnates the liver pulse, and is tied to the yin organs, and the qi mechanism is blocked; Finally, due to the stagnation of qi in the liver and kidney channels and the obstruction of qi and blood stasis in the collaterals, various symptoms were found.
The treatment of prostatalgia is difficult. First of all, it is difficult to diagnose it. It often takes several times of microscopic examination and culture of prostate fluid to diagnose it without finding abnormalities. Therefore, in general, patients are often treated as ordinary prostatitis due to symptoms similar to chronic prostatitis, and the effect is naturally poor. Secondly, there is a lack of specific treatment after confirmation, and the measures that can be taken include:
1. Sit less. The seat is padded with thick soft cushion to reduce local pressure;
2. Physical therapy and hot water sitz bath;
3. Anal lifting exercise;
4. Indomethacin suppository is used in anus, twice a day, one at a time.
In addition, a domestic group reported the experience of treating prostate pain as follows:
1. The scrotal wall is pulled. That is, under warm and relaxed conditions, heat bath or repeatedly pull the scrotal wall downward with fingers in the quilt for 20~30 times, so as not to have epilepsy involved. The purpose is to relax the scrotal sarcolemma and levator muscle. It is said that some cases can disappear in 2 to 3 weeks.
2. Excision of the insertion point at the pubic tubercle of adductor muscle is said to be effective when the indication is selected properly, and has no effect on walking.
The above introduction made me understand the prevention of prostate pain. We should exercise more in our daily life, and take timely treatment measures for prostate pain. Severe prostate pain can lead to male infertility. If you feel unwell, please go to the hospital immediately to avoid delaying the disease!
