Post Date December, 03 2023
Nowadays, there is a huge amount of publicity about prostatitis in the market, and it is a mix of good and bad, making it difficult to distinguish between true and false. What is the true face of prostatitis? How should we view and handle it?
Prostatitis is the most common urinary system disease in men under 50 years old, and ranks the third in the elderly men's urinary system diseases. In fact, it is a general term for a series of diseases, including four categories:
Acute bacterial prostatitis rarely occurs, but the symptoms can be severe, including high fever and chills, severe pain in the anus or perineum, as well as frequent urination, urgency, and pain. Digital examination of the anus can reveal significant swelling and tenderness of the prostate gland. Based on the above symptoms and urine test results, a diagnosis can be made. During acute inflammation, drugs can easily penetrate the prostate, and targeted use of antibiotics is effective.
The main manifestations of chronic bacterial prostatitis are frequent urination, urgency, increased nocturia accompanied by pain or discomfort in the lower abdomen and perineum, with a longer course of disease. The diagnosis can only be made after the abnormal increase of white blood cells in prostatic fluid and the cultivation of bacteria. Blood tests, B-ultrasound, X-rays, and even CT and magnetic resonance imaging are not very useful. Due to the difficulty of antibacterial drugs penetrating the prostate during chronic inflammation, treatment is more difficult. Relatively speaking, new fluoroquinolones have the strongest penetration power. The treatment takes a long time and there is a certain possibility of recurrence.
Chronic pelvic pain syndrome is the most common, but its understanding is also the least. Its symptoms are similar to those of chronic bacterial prostatitis, but no pathogenic bacteria can be found in prostatic fluid, so there is no specific treatment so far. Antibiotics may be effective in some patients with abnormally elevated white blood cells in prostatic fluid. There are many drugs used to relax the smooth muscle of the prostate and to treat pelvic muscle relaxation. In addition, plant drugs and traditional Chinese patent medicines and simple preparations preparations also have auxiliary effects.
Asymptomatic prostatitis does not have any uncomfortable feeling, only occasionally found signs of inflammation in prostatic fluid during examination, usually without treatment.
Although severe prostatitis may cause male sexual dysfunction or infertility in some people, it is only a temporary physical discomfort for most patients and has no adverse consequences. The authority in the field of urology believes that the treatment of prostatitis should be as simple as possible, and there is no need to use complex and expensive regimens for treatment.
To dispel doubts and doubts
Is direct injection of antibiotics into the prostate effective?
This method can damage the internal environment of the prostate and increase the risk of infection, and can easily cause bacteria to develop drug resistance. This method is not used in municipal hospitals, and the academic journals of the Chinese Medical Association do not publish articles on this therapy.
Can transurethral prostatectomy or vaporization (ablation) surgery treat prostatitis?
This type of surgery is targeted at prostate hyperplasia and cannot remove the main site of prostatitis, the peripheral part of the prostate, resulting in poor results. In principle, it is not recommended to undergo any form of surgery or urethral manipulation for prostatitis.
3. Is it necessary to seek medical advice from a specialist for prostatitis?
It's not necessary. Prostatitis is a common disease in urology. It belongs to the basic skills of regular urologists, and the treatment methods are similar to each other. Therefore, the general urology clinic can deal with it. It is best for patients to find a reliable hospital, a trustworthy doctor, and patiently see them a few times, and they will basically improve.
