Post Date December, 03 2023
In the andrology clinic, some young people often complain of discomfort or dull pain in the perineum, penis, and testicles, and white mucus dripping from the end of the urinary tract. In severe cases, low back pain, frequent urination, low libido, and insomnia and dreaminess are common. In fact, these are common symptoms of chronic prostatitis.
Chronic prostatitis is divided into bacterial and non bacterial types. Patients with bacterial chronic prostatitis often experience retrograde infection through the urethra. "Most" artificial ejaculation "has an infection in the posterior urethra, causing large bacteria to crowd into the surrounding layer of the prostate.". In addition, most antibacterial drugs cannot penetrate the prostate, which is one reason why prostatitis is not easy to cure.
The diagnosis of prostatitis must include rectal digital examination, prostate massage, and white blood cell counts greater than 10 per high-power field of view, with a decrease in phospholipid bodies. Both minocycline and doxycycline have strong penetrating power, forming high concentrations in the prostate vesicles, achieving bacteriostasis, sterilization, and therapeutic purposes. Therefore, it is considered as the drug of choice. Minocycline is orally administered 100 mg twice a day for a course of four weeks. "Because this drug may have certain effects on liver and kidney functions, patients should go to the hospital to check their liver and kidney functions during medication. A few patients may experience dizziness.". At the same time, prostate fluid should be checked weekly. In addition, erythromycin, roxithromycin, cotrimoxazole, and rifampicin can also be selected. Regular sexual activity, abstinence from alcohol, coffee, and spicy foods, physical therapy, and hot water hip baths can reduce local inflammation, promote absorption, and improve blood circulation, contributing to the treatment of chronic prostatitis.
The incidence rate of non bacterial chronic prostatitis is 8 times higher than that of bacterial chronic prostatitis. These patients have normal prostatic fluid examination, but have obvious pelvic, perineal and urethral spasm symptoms, which is called prostatodynia. The causes may be long-term separation of couples, pelvic congestion, interrupted sex writing, long-distance cycling, and frequent sitting and working. The treatment of such patients is relatively complex. If the pathogenic bacteria are Mycoplasma and Chlamydia, minocycline, doxycycline, and alkaline drugs can be used. Available if prostate pain α Receptor blockers, such as cortisol, prazosin, and haloperidone. Gaoteling is 2 mg once orally, twice a day; Piperazine 0.5 to 1 mg each time, three times a day. In addition, it is supplemented with sedatives and psychotherapy. Prostate massage once a week, hot water sitz bath once a day, and restore a regular sexual life.
