Post Date December, 02 2023
Prostatitis is a common and frequently occurring disease in young and middle-aged men, often caused by urethritis, seminal vesiculitis, or epididymitis. There are acute and chronic clinical manifestations, bacterial infectivity and non infectivity, specificity and non specificity. It belongs to the category of "suspended carbuncle, white turbid, labor drenching, cream drenching, and essence turbid" in traditional Chinese medicine. It can be completely asymptomatic and can also cause persistent or recurrent urinary and reproductive system infections.
The pathological changes of acute prostatitis are mainly characterized by polymorphonuclear leukocyte infiltration, destruction of prostate glands, or prostate ducts, their epithelium, and adjacent stroma. It is caused by bacterial infection. The pathological changes vary depending on the type of inflammation.
(1) Follicular prostatitis: epithelial detachment and pus cell infiltration occur in the glandular ducts of various acini. Due to the development of inflammation, congestion and edema worsen, and lumen stenosis and occlusion can form pseudoabscesses or small abscesses. The entire gland becomes soft and swollen with elasticity.
(2) "Prostate abscess: The development of parenchymal inflammation as a localized abscess, or inflammation elsewhere in the body caused by hematogenous and lymphatic infections.". In about 1/2 cases, the abscess continued to increase and eventually penetrated the urethra, perineum, or rectum.
(3) Catarrhal prostatitis: Infection spreads from the excretory duct of the prostate to the glandular cavity, with increased congestion, edema, and exudation. Intraluminal glandular epithelium with mild inflammatory cell infiltration, hyperplasia and desquamation of glandular epithelium.
(4) Substantial prostatitis: The lesion develops again, with eosinophil infiltration in the stroma, expanding to the parenchyma, forming a small abscess. Epithelial necrosis and detachment make it difficult to distinguish the glandular lumen. Interstitial inflammation spreads to one lobe or entire gland.
Prognosis and main outcomes of prostatitis:
1. After recovery, the systemic symptoms disappeared, local swelling subsided, and there was no tenderness. Prostate fluid was normal after three consecutive tests. The general criteria for judging a cure are: clinical symptoms disappear, three cups of urine are normal, the number of white blood cells per high-power field of vision on microscopic examination of prostate fluid is less than 10, and bacterial culture is acceptable.
2. Extension
① Recessive infection, which can lead to chronic prostatitis due to lack of treatment or delayed treatment without obvious symptoms;
② After severe inflammation or abscess incision, the inflammation is not completely cured, and the symptoms are not obvious. If there is an inducement, it may become acute or become chronic;
③ "Acute prostatitis that has not been cured for 6 months becomes chronic prostatitis.".
Doctors pointed out that due to the prevalence of prostate disease and the large number of patients, more understanding of the clinical characteristics of prostate disease and timely detection of the condition is a prerequisite for early medical attention. Prostatitis can cause many symptoms, which may be asymptomatic at all, or can have significant symptoms that persist and cannot be cured.
