Post Date December, 03 2023
Prostate 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, or pain in urination. The main symptoms are "pelvic pain" unrelated to urination, such as pain in the perineum, penis, scrotum, lower abdomen, or urethra. Severe patients can exhibit varying degrees of urinary obstruction, such as difficulty urinating, weakness in urination, and interruption of the urinary line.
Although the prostate is an inconspicuous small gland in the human body, it plays an important role in the health of the male reproductive system. Prostatitis is the most common prostate disease in men aged 20 to 50 years. Prostate pain is a type of male prostatitis, which is known as the three major types of prostatitis together with bacterial and non bacterial prostatitis.
Both bacterial and non bacterial prostatitis symptoms can include perineal pain, urinary secretions, frequent urination, urgency, and pain in urination, which are difficult to distinguish solely from symptoms. The former refers to using a microscope to detect inflammatory cells in prostate fluid, and using prostate fluid for bacterial culture, a large number of bacteria were found to grow. 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 the reason why many patients with prostatitis in clinical practice have obvious symptoms of prostatitis, and inflammatory cells also appear in prostate fluid, but no bacteria can be detected during bacterial testing of prostate fluid. The cause of non bacterial prostatitis is ureaplasma urealyticum or chlamydia infection. Roxithromycin and doxycycline are commonly used for treatment.
Prostate pain is completely different from the previous 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, or pain in urination. The main symptoms are "pelvic pain" unrelated to urination, such as pain in the perineum, penis, scrotum, lower abdomen, or urethra. Severe patients can exhibit varying degrees of urinary obstruction, such as difficulty urinating, weakness in urination, and interruption of the urinary line. Currently, the diagnosis of prostate pain is mainly exclusive. "That is, the patient has similar symptoms of prostatitis, but there are no inflammatory cells in the prostate fluid test, and there is no bacterial growth in the prostate fluid culture. In addition, the patient has no symptoms of urinary tract infections such as frequent urination, urgency, or pain in 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 fundamental cause of prostate pain is involuntary habitual spasms or contractions of the pelvic floor muscles, and mental factors also have a certain impact. Therefore, the most important measure in treatment is to improve lifestyle and reduce psychological burden. Regular work and rest, avoiding mental tension and sedentary behavior, and doing more lower limb exercises can often alleviate pelvic floor muscle spasms. Drinking more water at ordinary times to promote the excretion of urine can avoid concurrent urinary tract infections. For some patients, oral sedatives alone can improve symptoms and relieve pain. Some health care measures such as hot water sitz baths, physical therapy, and regular sex life are also quite effective.
