Post Date December, 03 2023
Prostatitis is a common disease in men, most of which occur in young adults. Clinically, prostatitis can be divided into acute and chronic types. Acute prostatitis is relatively rare in clinical practice, and chronic prostatitis is more common among adults. Because chronic prostatitis is often associated with seminal vesiculitis, it is also known as prostatic seminal vesiculitis.
Etiology
1. Etiology of acute prostatitis:
"The onset of the disease occurs when the systemic or local resistance is weakened, and the pathogenic bacteria enter the prostate through blood circulation or through the urethra from lesions in other parts of the body.".
2. Etiology of chronic prostatitis: The etiology of chronic prostatitis is relatively complex.
Symptoms
1. Clinical manifestations of acute prostatitis:
The onset is acute, with symptoms of systemic infection or sepsis, high fever, frequent urination, urgency of urination, urinalgia, urethralgia, perineum and suprapubic pain, rectal distention, difficulty in defecation, and occasionally due to bladder neck edema and spasm, dysuria, even urinary retention can be caused.
2. Clinical manifestations of chronic prostatitis:
The symptoms and manifestations of different patients vary greatly, and common symptoms include:
(1) Pain: The posterior urethra can have a burning sensation and a sense of ant movement. Pain in the perineum and anus can radiate to the lumbosacral region, groin, suprapubic region, penis, testicles, and occasionally to the abdomen.
(2) Urological symptoms: Inflammation involving the urethra. Patients may have mild frequent urination, urgency, or pain in urination. Individual patients may still have terminal hematuria. Mucus or purulent secretion may be discharged from the urethral orifice before early urination or during defecation in the morning.
(3) Sexual dysfunction:
(4) Symptoms of neurasthenia: depression, fatigue, insomnia, etc.
(5) Secondary symptoms: conjunctivitis, iritis, arthritis, neuritis, etc. may occur.
Inspection
Diagnosis of acute prostatitis:
For patients with the above symptoms, a digital rectal examination is required. The prostate gland can be palpated as swollen, with a smooth surface, high tension, and significant tenderness. Acute prostatitis can only be examined by digital examination. Do not massage the prostate to prevent the spread of inflammation. Purulent cells and red blood cells can be seen on urine examination. B-ultrasound examination is also helpful in diagnosis.
2. Diagnosis of chronic prostatitis:
For those with one or more of the above symptoms, perform digital rectal examination and touch prostate massage. Segmental localized culture of urine and prostate fluid is also valuable in the diagnosis of chronic prostatitis.
"When chronic prostatitis occurs, the ph of prostate fluid increases and the zinc content decreases, which is also helpful for diagnosis.".
