We often meet some patients in the outpatient department who have doubts about their "chronic prostatitis". They think that although there is no milky secretion coming out of the urethra at the time of defecation or at the end of urination, each time the prostatic fluid and secretion are normal through microscopic examination, and the bacterial culture in the lower urinary tract is negative, and no pathogenic microorganism can be found. So why should doctors diagnose the patient with chronic prostatitis
Previously, chronic prostatitis was divided into two categories:
One type is bacterial prostatitis, which is mostly caused by the invasion of the prostate by the infection foci in a certain part of the body or the bacteria gathered in the external genitalia when the body's resistance decreases. The prostate fluid can be found to contain a large number of fine or white cells.
The other is non-bacterial prostatitis, which is also known as prostatic effusion, prostatic leakage or chronic prostatic congestion. Many symptoms are often caused by repeated hyperemia of the prostate, and the information about the above patients belongs to this category. It can be seen that chronic prostatitis is not all caused by bacterial infection, but the interaction between bacterial or non-bacterial prostatitis can not be ignored in clinical practice, that is, prostate infection and sexual congestion of the prostate can cause and effect each other. Because of the inflammatory reaction of the glandular duct and acinus, the glandular duct may be blocked, the secretion may be silted up, and the drainage may not be smooth, thus aggravating the local tissue damage and filling of the prostate. When the prostate is hyperemia, blood stasis is more conducive to bacterial invasion, growth and reproduction, thus inducing bacterial prostatitis.