Post Date December, 03 2023
"Half a year ago, I developed symptoms such as poor urination, frequent urination, and perineal pain. After going to the hospital for examination, I was diagnosed as' prostatic hypertrophy '.". According to the doctor's prescription, Lao Wang made up the medicine and began taking it for treatment, but the effect was not significant, especially with persistent perineal pain symptoms. Two months ago, an expert clinic number was hung up, hoping to further clarify the diagnosis. After listening to his narration, the andrologist gave him a prostate massage and issued a prostate fluid test sheet. The test results showed that the white blood cell count was significantly above the normal value, and there were a small amount of red blood cells. Combined with the medical history, the patient was diagnosed with "prostate hypertrophy with chronic prostatitis.". After receiving targeted treatment, the symptoms improved significantly during the follow-up visit.
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This is a typical patient with prostate hypertrophy and chronic prostatitis.
We know that prostatic hypertrophy, also known as benign prostatic hyperplasia, is commonly seen in men over the age of 50. The main symptoms include frequent urination, urgency of urination, excessive nocturnal urination, fine urine flow, and interruption of urination, often considered laborious. When middle-aged and elderly men experience similar "embarrassing urination" situations, they often consider themselves or are diagnosed by doctors as benign prostatic hyperplasia. However, there is another possibility that chronic prostatitis may exist. Foreign studies have found that more than one-third of patients with benign prostatic hyperplasia have chronic inflammatory changes in the prostate tissue to varying degrees. Further research has confirmed that due to poor urination, urine reflux occurs, and bacteria can enter the prostate, causing bacterial prostatitis and chemical prostatitis. In severe cases, it can clog the prostate tubules, making it impossible to discharge prostate secretions, causing increased internal pressure in the prostate, causing symptoms such as prostate pain, and exacerbating inflammatory changes in the prostate.
"If the treatment of benign prostatic hyperplasia alone is not effective and continues to be accompanied by symptoms such as pain, it should be considered whether to develop prostatitis at the same time.". If it is confirmed by examination that it is complicated with chronic prostatitis, both should be considered during treatment. On the one hand, in the treatment of benign prostatic hyperplasia α― Receptor blockers to improve obstructive symptoms and keep urine unobstructed; On the other hand, actively treat prostatitis, appropriately apply antibiotics, and cooperate with the use of anal suppositories (such as Qianlie'an suppositories), warm water hip baths.
Patients should also pay attention to improving their dietary habits (drinking less alcohol and eating less spicy stimulants), maintaining moderate ejaculation, avoiding catching cold, etc., and regularly review and adhere to treatment until the symptoms completely disappear. It is strictly prohibited to "fish for three days" or "bask in the net for two days". If conditions permit, appropriate use of androgen substitutes (such as testosterone 11-acid) can improve efficacy and symptoms, thereby improving quality of life. Of course, androgen replacement therapy should only be applied under the guidance of an experienced male urologist to avoid other complications.
