Zhao, who works in the IT industry, has been suffering from chronic prostatitis for four to five years. Whenever work is stressful, excessive anxiety, sadness, fear, anger, and other emotions are not good, frequent urination, urgency, perineal and anal discomfort, abdominal and testicular pain, and sometimes even impotence and premature ejaculation occur.
Etiology of chronic prostatitis
According to the survey, the incidence rate of chronic prostatitis in young adults is as high as 25% - 40%. The etiology of chronic prostatitis is very complex, which is related to race, sexual life, growth factors, inflammatory mediators and other biochemical substances.
Currently, more and more investigations indicate that mental stress is one of the important inducing factors of chronic prostatitis. Prostatitis tends to occur in middle-aged men, who have high social responsibility and mental pressure. Japanese medical experts have observed a group of chronic prostatitis patients and found that when their symptoms worsen, they all have different levels of stress factors, such as high work pressure, fatigue, anxiety, and so on. "They were treated only with behavioral therapy to relieve tension, without medication. After several months of follow-up, 80% of the patients reported that their symptoms had decreased or recovered.". For this reason, experts pointed out that the treatment of chronic prostatitis solely relying on drugs is not ideal, and psychological treatment should be coordinated.
In addition, prolonged sitting is also associated with prostate disease. From a physiological perspective, sitting can slow blood circulation, especially in the perineum, which directly leads to chronic congestion and congestion in the perineum and prostate. However, sitting in a regular position will not have any impact on the body. If you sit for a long time due to work and other reasons, it can have a certain impact on the prostate. This is because hyperemia of the perineal prostate can cause accumulation of local metabolites, obstruction of the prostate gland ducts, and impeded excretion of glandular fluid, leading to the occurrence of chronic prostatitis. Therefore, avoiding prolonged sitting and immobility at work, taking proper rest after work, and changing posture in a timely manner can improve local prostate congestion and reduce or avoid the occurrence of chronic prostatitis.
Clinical manifestations of chronic prostatitis
The symptoms and manifestations of different patients vary greatly, and common symptoms include:
1. Pain: The posterior urethra can have a burning sensation and a sense of ant movement. Pain in the perineum and anus can radiate to the lumbosacral region, groin, suprapubic region, penis, testicles, and occasionally to the abdomen.
2. Urological symptoms: Inflammation involving the urethra. Patients may have mild frequent urination, urgency, or pain in urination. Individual patients may still have terminal hematuria. Mucus or purulent secretion may be discharged from the urethral orifice before early urination or during defecation in the morning.
3. Sexual dysfunction:
4. Neuroasthenia symptoms: depression, fatigue, insomnia, etc.
Secondary symptoms: conjunctivitis, iritis, arthritis, neuritis, etc. may occur.
The main manifestations of chronic bacterial prostatitis are frequent urination, urgency of urination, increased nocturia with pain in urination, or pain and discomfort in the lower abdomen and perineum, with a longer course of disease. The diagnosis can only be made if the white blood cells in the prostatic fluid are abnormally elevated and bacteria are cultured. Blood tests, B-ultrasound, X-ray films, and even CT and magnetic resonance imaging are not very useful. Antibacterial drugs are difficult to penetrate the prostate, making treatment more difficult.
Diagnosis and treatment of chronic prostatitis
For those with one or more of the above symptoms, perform digital rectal examination and touch prostate massage. Segmental localized culture of urine and prostate fluid is also valuable in the diagnosis of chronic prostatitis.
"When chronic prostatitis occurs, the ph of prostate fluid increases and the zinc content decreases, which is also helpful for diagnosis.".
The treatments for chronic prostatitis include:
General treatment: enhance confidence, eliminate ideological concerns, and control sexual desire, but not mandatory abstinence. Avoid alcohol and stimulating foods, take a hot seat bath once a night, and undergo local physical therapy to change obvious triggers in life, such as avoiding prolonged cycling.
Prostate Massage: Regular prostate massage can promote the discharge of prostatitis secretions once a week, and routine examination of prostate fluid can also be conducted to evaluate the treatment effect.
Drug infusion: Insert a special balloon catheter through the urethra, inject sterile physiological saline into the urethra of the prostate, and aspirate it several times. Suck up the purulent secretion, and then inject antibiotics once a week.
4. Urethral dilation: For patients with urethral stricture or obstruction, regular urination is performed to facilitate excretion. When the probe passes through the urethra, it can elongate the opening of the prostate, facilitating gland drainage.
5. Antibacterial drugs: Generally speaking, antibacterial drugs are not easy to enter the prostate tissue, which is one of the reasons for the relatively difficult clinical treatment. It can be used in 2 to 3 combinations, or selectively based on the bacteriological culture of prostate fluid and drug sensitivity test results.
6. TCM treatment based on syndrome differentiation.
Maintenance of prostaglandins
Disease is treated in three ways and maintained in seven ways: Therefore, the maintenance of the prostaglandins requires the following:
First, urination is very important for prostate disease, and it is also a good method for kidney health care;
Second, drink more water. Drinking more water will cause more urination, and urine with high concentration will cause more stimulation to the prostate. Therefore, drink more water to dilute the concentration of urine;
Third, relax more. The pressure of life may increase the chance of prostate enlargement, and the pressure of life will be reduced. Generally, prostate symptoms will be relieved;
Fourth, have regular sex. Having regular sex three or more times a week can alleviate prostate diseases, and the best way to empty the prostate is to have regular sex, which is very beneficial for prostate health; Take a warm bath, which can relieve the tension between muscles and prostate gland;
Five, stay away from caffeine, pungency, and alcohol. Although the effects of the above three stimulating foods on men vary from person to person, it is best to stay away for health reasons.
How to Look at the Prostate Fluid Test Sheet
In men, there is a gland in the neck of the bladder, known medically as the prostate. It consists of 30-50 acini, which are "a strip of water" with the rectum and perineum, and pass through the urethra in the middle. It is connected to the urethra through 15-30 prostate discharge tubes. Bacteria can not only flow from an infected lesion in the body to the prostate, but also spread to the prostate through adjacent organs, which can be described as "accident prone areas.".
"After a disease occurs in the prostate gland, the color, cell count, pH, and biochemical composition of the prostate fluid secreted by the acini can change. Therefore, when patients with prostate glands visit a hospital, doctors often ask them to examine the prostate fluid.".
How to look at the prostate fluid test sheet? The normal result should be:
Appearance: milky white thin liquid.
Lecithin bodies: extremely numerous, almost full field of vision.
Epithelial cells; Rare.
Red blood cells: less than 6, under high power microscope (hp).
White blood cells: less than 10 (hp).
Sperm: Rare.
PH value: 6.3-6.5
When the prostate is inflamed, the lecithin corpuscles of the prostate decrease, the number of red blood cells is greater than 6/hp, and the number of white blood cells is greater than 10/hp. A large number of bacteria can be found, with Staphylococcus being the most common, followed by Streptococcus and Neisseria gonorrhoeae. Acid resistant bacteria can be found by acid resistant staining. In addition, when inflammation occurs, the prostatic fluid appears as light yellow purulent or light red with sticky filaments.
Trichomonas can be detected when infected; When there are stones, crystals composed of calcium phosphate can be seen; Prostate cancer can have bloody fluid, and microscopic examination shows a large amount of red blood cells and cancer cells; Tuberculosis bacilli can be seen in prostate tuberculosis.
It is worth mentioning that if a large amount of sperm is found in the microscopic suppository, it indicates that the sample does not meet the laboratory requirements, and it is necessary to take samples and submit them for examination again according to the regulations.