What is chronic prostatitis?
Chronic prostatitis is a common inflammatory disease in the male genitourinary system, which is mainly characterized by long-term or repeated inflammatory reactions in prostate tissue. The disease has a long course and is easy to relapse, seriously affecting the patient's quality of life. In recent years, with the accelerated pace of life and increased stress, the incidence of chronic prostatitis has shown an upward trend and has become a hot topic in the field of men's health.
1. Classification of chronic prostatitis
According to the cause and clinical manifestations, chronic prostatitis can be divided into the following categories:
| type | feature | Common causes |
|---|---|---|
| chronic bacterial prostatitis | Recurrent urinary tract infection, positive prostatic fluid culture | Bacterial infections (e.g. E. coli, staph) |
| Chronic nonbacterial prostatitis/chronic pelvic pain syndrome | Pain in the pelvic area without clear evidence of infection | Immune factors, neuromuscular dysfunction |
| asymptomatic prostatitis | No clinical symptoms, only abnormal prostatic fluid examination | Unknown, may be related to subclinical infection |
2. Main symptoms
The symptoms of chronic prostatitis are diverse and vary greatly among individuals. The following are common symptoms:
| Symptom Category | Specific performance |
|---|---|
| pain symptoms | Dull pain or swelling in the perineum, lower abdomen, and lumbosacral region |
| urinary symptoms | Frequent urination, urgency, painful urination, poor urination, and increased nocturia |
| sexual dysfunction | Erectile dysfunction, premature ejaculation, loss of libido |
| Psychiatric symptoms | Anxiety, depression, insomnia, etc. |
3. Diagnostic methods
The diagnosis of chronic prostatitis requires a combination of clinical symptoms and laboratory tests:
| Check items | clinical significance |
|---|---|
| Prostate Massage Test | Increased white blood cell count and decreased lecithin bodies |
| Urine routine and urine culture | Rule out urinary tract infection |
| Prostate ultrasound | Observe changes in prostate morphology and structure |
| NIH-CPSI score | Assess symptom severity |
4. Treatment plan
The treatment of chronic prostatitis should adopt comprehensive measures:
| Treatment | Specific measures |
|---|---|
| drug treatment | Antibiotics (bacterial), alpha blockers, nonsteroidal anti-inflammatory drugs |
| physical therapy | Prostate massage, microwave, radio frequency, etc. |
| lifestyle adjustments | Avoid sitting for long periods of time, abstain from alcohol, and live a regular sex life |
| psychotherapy | Relieve anxiety and depression |
5. Preventive measures
The key to preventing chronic prostatitis is to develop good living habits:
1. Maintain a regular schedule to avoid excessive fatigue
2. Moderate exercise to enhance resistance
3. Pay attention to personal hygiene to prevent urinary system infections
4. Avoid riding a bicycle or sitting for long periods of time
5. Drink more water and don’t hold in your urine.
6. Maintain a moderately regular sex life
6. Latest research progress
Recently, the medical community has made some new progress in research on chronic prostatitis:
1. Microbiome research has found that the prostate may have a unique microbial community, and its imbalance may be related to the occurrence of disease.
2. Research on neuroimmune mechanisms reveals new mechanisms of chronic pain
3. Research on the optimization of traditional Chinese medicine treatment plans has achieved phased results.
4. The role of psychological intervention in comprehensive treatment is receiving more and more attention
In short, chronic prostatitis is a disease that requires long-term management. Patients should maintain a positive attitude, cooperate with the doctor's treatment, and pay attention to daily health care in order to obtain the best treatment effect.
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