With the transformation of modern medical models from biomedical models to social psychological biomedical models, social psychological factors have gradually become recognized as important pathogenic factors.
Many researchers at home and abroad believe that chronic prostatitis is closely related to psychological factors. About two-thirds of patients have anxiety symptoms, and more than half of patients have depression symptoms. As the disease progresses, anxiety and tension worsen, while physical and social abilities are weakened; These symptoms are often masked by the main symptoms of chronic prostatitis and cannot be diagnosed and treated in advance, making the treatment of chronic prostatitis more complex.
What kind of person will get prostatitis?
Firstly, occupation is important, as drivers who drive for a long time may indicate chronic pelvic pain syndrome caused by prostate congestion; A history of medication use, if long-term antibiotics are ineffective, may indicate chronic pelvic pain syndrome; Long term drinking and consuming spicy food are the triggers for worsening prostatitis.
Therefore, asking for a simple medical history may become an important clue for diagnosing chronic prostatitis and must be taken seriously. Non specialized doctors often collect unclear medical history of symptomatic individuals, and even diagnose chronic prostatitis solely based on a few symptoms such as frequent urination, white urine droplets, and perineal pain, without paying attention to the symptom score of chronic prostatitis. Ignoring physical examination, many doctors diagnose chronic prostatitis only by the increase of white blood cells in prostatic fluid, but lacking comprehensive and detailed physical examination.
Do not blindly reject prostate digital diagnosis
Digital diagnosis of the prostate is very helpful for the diagnosis of chronic prostatitis, such as increased hardness, uneven surface, induration, and obvious tenderness of the prostate gland in patients with chronic bacterial prostatitis; Chronic pelvic pain syndrome is characterized by plump glands, slightly larger and softer texture, and insignificant tenderness.
Of course, when considering acute prostatitis (fever, obvious urinary pain, increased blood count, etc.), this diagnostic method may be contraindicated. During physical examination, attention should also be paid to the presence of swelling and painful nodules in the epididymis, as well as to the presence of infectious lesions in other areas such as the mouth and skin. These can provide clues for the diagnosis and differentiation of chronic prostatitis.
Prostatitis and hyperplasia are not the same thing
Prostatitis and hyperplasia are not necessarily linked. Prostatitis does not directly cause prostatic hyperplasia. Prostatic hyperplasia can be secondary to prostatitis after urinary tract infection due to factors such as urine retention. At present, senile prostatitis is also increasing.
Prostate hyperplasia, commonly known as prostate enlargement, is a physiological degenerative hyperplasia of the prostate that leads to lower urinary tract obstruction in elderly men under the action of androgens. The clinical manifestations include urinary tract obstruction symptoms (mainly difficulty in urination, manifested as hesitation in urination, weakness of the urinary line, prolonged urination time, dripping after urination, and incomplete urination) and/or stimulation symptoms (urgency, frequency of urination, nocturia, urinary incontinence, etc.), which occur in elderly men over 50 years old, The diagnosis of benign prostatic hyperplasia is generally not considered under the age of 50.