bacterial prostatitis
Introduction
Introduction to bacterial prostatitis Bacterial prostatitis is a non-acute infection of the prostate caused by one or several pathogens. Like acute bacterial prostatitis, the pathogenic bacteria are Gram-negative aerobic bacteria such as Escherichia coli and Pseudomonas aeruginosa. Clinical manifestations include fever, aversion to cold, body aches, fatigue, loss of appetite and other systemic symptoms and perineal, anal pain and discomfort, frequent urination, urgency, dysuria, dysuria or hematuria, and even urinary closure. The main pathogenic factors of acute bacterial prostatitis are Escherichia coli, followed by Staphylococcus aureus, Klebsiella pneumoniae, Proteus, Pseudomonas, etc., and most of them are single pathogen infections. Bacteria or other pathogens infect the prostate and rapidly grow and multiply, mostly bloody infections, retrograde infection through the urethra. Acute bacterial prostatitis: mainly broad-spectrum antibiotics, symptomatic and supportive treatment. Patients with urinary retention were treated with thin tube catheterization or suprapubic bladder puncture for drainage, and patients with prostate abscess were treated with surgical drainage. basic knowledge The proportion of illness: 0.001% Susceptible people: male Mode of infection: non-infectious Complications: chronic bacterial prostatitis
Cause
Cause of bacterial prostatitis
Infection factor (45%)
1, the main pathogenic factors of acute bacterial prostatitis are Escherichia coli, followed by Staphylococcus aureus, Klebsiella pneumoniae, Proteus, Pseudomonas, etc., the vast majority of single pathogen infection. Bacteria or other pathogens infect the prostate and rapidly grow and multiply, mostly bloody infections, retrograde infection through the urethra.
2. The main pathogenic factors of chronic bacterial prostatitis are retrograde infection of pathogens. The pathogens are mainly Staphylococcus, followed by Escherichia coli, Corynebacterium and Enterococcus. Prostatic stones and urinary reflux may be important causes of the persistence of pathogens and recurrence of infection.
Bad living habits (10%)
1. Direct compression of the perineum, cycling, horse riding, sedentary, etc. can lead to repeated damage to the perineum and prostate congestion, especially for long-term cycling.
2, sexual life is not normal, sexual life is too frequent, sexual life is forced to interrupt, etc., can make the prostate abnormal congestion.
3, unhealthy lifestyle, alcohol, gluttony and greasy food and other bad habits can easily lead to dampness and endogenous, accumulated in the reproductive organs to make it congested and cause sexual excitement.
Medical behavior (20%)
Excessive massage, improper prostate massage and other external stimuli caused by medical behavior, such as excessive or too frequent methods can make the prostate congestion.
Cold and cold (15%)
Colds and colds, cold and cold can cause the body's sympathetic nerves to excite, resulting in increased intraurethral pressure, prostatic tube contraction and obstruction of prostatic fluid excretion, resulting in silicosis.
Prevention
Bacterial prostatitis prevention
1. Diet has a festival, but the taste of fat is sweet and fragrant, the crystals of spicy and quenching, eating more fruits and vegetables, keeping the stool smooth.
2. There is a regular living, sexual life should be moderate, avoid excessive sexual intercourse, and be patient. Don't ride too long and too long.
Complication
Bacterial prostatitis complications Complications chronic bacterial prostatitis
1, because it can cause sexual dysfunction, can make men's self-confidence significantly reduced, affecting the quality of life and relationship between husband and wife.
2, prostate fluid is an important part of semen, if the prostate is inflamed, some enzymes secreted by the prostatic fluid are reduced, these enzymes can promote the activation of semen, sperm, can improve the motor's motor strength, if there is inflammation It will cause sperm to not liquefy, so the ability of sperm to decline, leading to infertility.
3, severe chronic prostatitis, can cause prostate fibrosis caused by lack of semen and lose orgasm.
4, lumbosacral, perineal pain and incompatibility symptoms and urethra secretion can affect work and study.
Symptom
Bacterial prostatitis symptoms Common symptoms Nocturia increased fever with frequent urination, urine... Perineal traction pain Urine blood aversion fever with chills
(1) Symptoms: The symptoms of chronic prostatitis are complicated. Some patients are asymptomatic and their diagnosis is based on the occasional asymptomatic bacterial urine. Most patients have varying degrees of bladder irritation (such as frequent urination, urgency, nocturia, and dysuria) and lumbosacral or perineal discomfort or pain. Rarely chills and fever, if any, suggest an acute attack of chronic prostatitis. Occasional muscle pain and joint pain.
(2) Signs: The rectal examination of the prostate can be normal, uneven or local induration. A feeling of friction can be felt if there is a large prostate stone. Occasionally there may be a first or no hematuria, bloody semen or urethral secretions. Sometimes accompanied by epididymitis.
(3) The pain of the bacterial prostate is not limited to the urethra and perineum, but also radiates to the vicinity. The following low back pain is most common. In addition, bacterial prostate patients can be affected by penis, spermatic cord, testicular scrotum, lower abdomen, groin area (thigh root), thigh, rectum, etc.
(4) bacterial prostate can cause libido and ejaculation pain, ejaculation premature, and affect the quality of semen, bacterial prostate can also appear urinary tract bleeding after urination or stool, blood sperm can appear when combined with seminal vesiculitis. Can be combined with neurasthenia, showing fatigue, dizziness, insomnia, etc., long-lasting bacterial prostate can even cause the body's allergic reaction, conjunctivitis, arthritis and other diseases.
(5) Bladder irritation may occur, such as frequent urination, urinary tract burning during urination, pain and radiation to the head of the penis. Bacterial prostate in the early morning urethra may have mucus and other secretions, but also the feeling of dysuria, post-urethral, perineal and anal bulge discomfort, squat, stool and sitting on the bench for a long time.
(6) The symptoms of bacterial prostate are different, and mild can be asymptomatic. However, most patients have pain or discomfort in the perineum or rectum. Pain can be radiated to the lumbosacral or pubis, testis, groin, etc., may have urination discomfort, urinary burning sensation, urinary tract often with milky white secretions and other symptoms.
(7) Bacterial prostate often causes sexual dysfunction, such as loss of libido, impotence, premature ejaculation, excessive frequency of spermatorrhea, blood essence, ejaculation pain, etc., bacterial prostate prostatic fluid secretion is reduced, resulting in decreased semen volume, increased viscosity, After the discharge, the liquid takes a long time, which affects the survival and vitality of the sperm.
Examine
Examination of bacterial prostatitis
Laboratory inspection:
(1) Blood routine: blood white blood cell count and neutrophil count increased.
(2) Urine routine: Acute prostatitis caused by blood infection can be normal; when prostatitis caused by urinary tract infection, there is an inflammatory change in the urine.
(3) Prostatic fluid examination: lecithin is reduced or disappeared, and more than 10 high-power fields of pus white blood cells.
Ultrasonography:
The prostate is full and diffuse evenly. The capsule is infiltrated by inflammation, swelling and becomes unclear, and the parenchymal echo of the gland is reduced. Generally, the echo distribution is uniform without obvious localized abnormal echo changes. However, if there is an abscess formation, there may be a localized change. In the early stage, an echo-enhanced mass may appear, and the boundary is unclear. Abscess formation, liquefaction is sufficient, the lesion area is cystic, and the morphology is not easy to distinguish from the prostate cyst.
Diagnosis
Diagnosis and identification of bacterial prostatitis
Sign
(1) The lower abdomen tenderness is positive, and the urethra has purulent secretions.
(2) rectal examination, prostatic body swelling is obvious, the surface is smooth and regular, tenderness is obvious, if there is a sense of fluctuation, the abscess is formed, and the perineum sometimes appears redness and tenderness.
2. Laboratory examination
(1) Blood routine: blood white blood cell count and neutrophil count increased. (2) Urine routine: Acute prostatitis caused by blood infection can be normal; when prostatitis caused by urinary tract infection, there is an inflammatory change in the urine. (3) Prostatic fluid examination: lecithin is reduced or disappeared, and more than 10 high-power fields of pus white blood cells.
3. According to the history, symptoms, signs, and laboratory results, the diagnosis can be confirmed . If the symptoms persist for more than 1 week, the white blood cell count increases rapidly, the perineum and anus are severely painful, and the lower urinary tract symptoms are aggravated. Abscess formation should be considered when acute urinary retention occurs.
4. Ultrasound manifestations of bacterial prostatitis . The prostate is full and diffuse evenly. The capsule is infiltrated by inflammation, swelling and becomes unclear, and the parenchymal echo of the gland is reduced. Generally, the echo distribution is uniform without obvious localized abnormal echo changes. However, if there is an abscess formation, there may be a localized change. In the early stage, an echo-enhanced mass may appear, and the boundary is unclear. Abscess formation, liquefaction is sufficient, the lesion area is cystic, and the morphology is not easy to distinguish from the prostate cyst.
