Post Date December, 03 2023
Prostatic pain is completely different from the former. Typical patients with prostate pain may have symptoms similar to prostatitis, such as perineal pain, but have no urinary tract symptoms such as frequent urination, urgency and pain in urination. The main symptoms are "pelvic pain" unrelated to urination, such as pain in the perineum, penis, scrotum, lower abdomen or urethra. Serious patients can have different degrees of urinary obstruction, such as dysuria, weak urine flow, urinary line interruption, etc.
Although the prostate is a small gland in the human body, it plays an important role in the health of male reproductive system. Prostatitis is the most common prostate disease in men aged 20 to 50. Prostatic pain is a kind of male prostatitis, which is called three types of prostatitis together with bacterial prostatitis and non-bacterial prostatitis.
The symptoms of bacterial and non-bacterial prostatitis can include perineal pain, urinary secretion, frequency of urination, urgency of urination, pain in urination and other urinary tract symptoms, which are difficult to distinguish simply from symptoms. The former refers to the detection of inflammatory cells in the prostatic fluid by microscope, and a large number of bacteria were found to grow when the prostatic fluid was used for bacterial culture. For such patients, antibiotic treatment is effective.
The symptoms of non bacterial prostatitis and bacterial prostatitis are similar, but their actual incidence rate is 8 times of the latter. This is why many patients with prostatitis in clinic have obvious symptoms of prostatitis, and inflammatory cells also appear in the prostatic fluid, but no bacteria can be detected during the bacterial examination of prostatic fluid. The cause of non-bacterial prostatitis is ureaplasma urealyticum or chlamydia infection. Roxithromycin and doxycycline are generally used for treatment.
Prostate pain is completely different from the former two. Typical patients with prostate pain may have symptoms similar to prostatitis, such as perineal pain, but have no urinary tract symptoms such as frequent urination, urgency and pain in urination. The main symptoms are "pelvic pain" unrelated to urination, such as pain in the perineum, penis, scrotum, lower abdomen or urethra. Serious patients can have different degrees of urinary obstruction, such as dysuria, weak urine flow, urinary line interruption, etc. At present, the diagnosis of prostate pain is mainly exclusive. That is to say, the patient has similar symptoms of prostatitis, but no inflammatory cells are found in the prostate fluid test, and there is no bacterial growth in the prostate fluid culture, and the patient has no symptoms of urinary tract infection such as frequent urination, urgency of urination, and pain of urination, which can be diagnosed as prostate pain.
Because prostatodynia is a non infectious diseases, it is groundless and ineffective to use antibiotics for "anti-inflammatory" treatment. The root cause of prostate pain is involuntary habitual spasm or contraction of pelvic floor muscles, which is also affected by mental factors. Therefore, the most important measure in treatment is to improve the lifestyle and reduce the psychological burden. Regular work and rest, avoiding mental tension and sedentary, and doing more lower limb exercises can often relieve the spasm of pelvic floor muscles. Drink more water at ordinary times to promote the excretion of urine, which can avoid concurrent urinary tract infection. For some patients, oral sedatives alone can improve symptoms and relieve pain. Some health care measures such as hot water sitz bath, physical therapy and regular sex life are also quite effective.
