nonbacterial prostatitis
Introduction
Introduction to non-bacterial prostatitis Non-bacterial prostatitis is the most common type of prostatitis syndrome, and its etiology is unclear. There are abnormal numbers of inflammatory cells in the prostate secretion of non-bacterial prostatitis, but no pathogenic bacteria can be found by bacterial culture or other methods. Attempts have been made to confirm that some unusual pathogens (such as obligate anaerobic bacteria, mycoplasma, chlamydia, or other protozoa, viruses, etc.) are the cause of non-bacterial prostatitis, but have not been successful. basic knowledge The proportion of illness: 0.002% Susceptible people: male Mode of infection: non-infectious Complications: male infertility, no ejaculation
Cause
Cause of nonbacterial prostatitis
Bad living habits (25%):
Sexual life is irregular, erection without ejaculation, interruption of sexual intercourse and long-term cycling, long-term sitting work causes pelvic and prostate congestion, while excessive drinking and spicy food can also aggravate the symptoms of prostatitis.
Prostatic hyperplasia (25%):
Chronic non-bacterial prostatitis is one of the prostatitis diseases, and is also common among elderly people over the age of 50. It is difficult to urinate due to prostatic hyperplasia, and the pressure in the urethra is increased, and urine can be caused by countercurrent flow into the prostate.
Pathogenic microbial infection (25%):
Other pathogenic microorganisms, including Chlamydia trachomatis, Mycoplasma, fungi, and trichomoniasis.
Prevention
Non-bacterial prostatitis prevention
Prevention method
1. Avoid excessive sexual activity or abuse of aphrodisiacs;
2. Avoid frequent interruptions or endures;
3. Avoid long-term sexual life;
4. Avoid eating spicy and other irritants on your diet, and don't drink a lot.
Complication
Non-bacterial prostatitis complications Complications, male infertility, no ejaculation
1. Male sexual ability is weakened: Prostatitis can cause sexual activity in the male sexual nerves and nerve centers. However, if you go out for a long time, it will easily lead to inhibition of male sexual excitement, which will induce males to have sexual dysfunction.
2, induced female gynecological diseases: due to some bacterial infections induced male prostatitis, it is easy to lead to sexual life, these bacteria into the female reproductive organs, resulting in women infected, induced gynecological inflammation.
3, endocrine disorders: normal male prostate can secrete a variety of active substances, but suffering from prostatitis can easily lead to secretions, resulting in male endocrine disorders, leading to dizziness, fatigue and other symptoms in men.
Symptom
Non-bacterial prostatitis symptoms common symptoms nocturia increased urinary frequency dysuria and urinary retention prostate calcification prostaglandin synthesis decreased
Urinary tract and genital bulge: In the early stage of prostatitis, men often have symptoms of bulging discomfort after the urethra, perineum, and anus. The squat, stool, and sitting on the bench for a long time increase the pain.
Sexual dysfunction: Once a man has prostatitis, it will lead to decreased libido and ejaculation pain, premature ejaculation and other symptoms, and damage the quality of semen. After urination or stool, it can also detect urethral vaginal discharge. When combined with seminal vesiculitis, blood can emerge. fine.
Uncomfortable urination: Patients with prostatitis will have prominent reactions in the urinary system, which can cause bladder irritation, such as frequent urination, urinary tract burning, pain and radiation to the head of the penis. In the early morning, the urethra may have secretions such as mucus, and it may also show the feeling of dysuria.
Urinary symptoms: After suffering from prostatitis, it will also cause damage to the patient's urinary system, involving the patient's urethra. Patients may have mild urinary frequency, urgency, and dysuria. Individual patients will also find no hematuria and urinating in the morning. Mucus or purulent discharge may be excreted in the urethra before or during stool.
Pain: After men have prostatitis, the most prominent condition is pain. The patient's posterior urethra will have burning sensation and ant feeling. The pain in the perineum and anus can be radiated to the lumbosacral region, groin, suprapubic region, penis, Testicles, etc., can even radiate to the abdomen.
Nervous Debilitating Disorders: Many patients with prostatitis may have depression, fatigue, insomnia, etc. due to lack of accurate understanding of the disease and long-term inability to heal.
Examine
Non-bacterial prostatitis
First, B-ultrasound examination of non-bacterial prostatitis
It shows that the structure of the prostate tissue is unclear and disordered, which may indicate prostatitis.
Second, rectal examination of non-bacterial prostatitis
The prostate is plump, enlarged, soft, and mildly tender. If the disease is long, the prostate will become smaller, harder, uneven in texture and have a small induration. At the same time, the prostate massage method is used to obtain the prostate fluid for a routine examination.
Third, prostatic fluid examination non-bacterial prostatitis
The leukocytes in the prostatic fluid are more than 10 in the microscope high-power field, and the lecithin body is reduced, which can be diagnosed as prostatitis. If bacterial culture is performed at the same time, a clear diagnosis and classification of chronic prostatitis can be made. For example, if the bacterial culture of prostatitis is positive, the diagnosis of chronic bacterial prostatitis is diagnosed.
Diagnosis
Diagnosis and identification of non-bacterial prostatitis
Non-bacterial prostatitis must be differentiated from other specific prostatitis, especially chronic bacterial prostatitis. Sometimes diarrhea and cystitis should be considered in differential diagnosis, in middle-aged and elderly patients with irritating urination and negative bacterial culture. In male patients, it should also be carefully analyzed whether there is a bladder tumor, especially the presence of bladder cancer. In addition to urine cytology, cystoscopy should be performed.
