Prostatitis

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Written by Chen Feng
Urology
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Is nonbacterial prostatitis easy to treat?

Sterile prostatitis is generally difficult to treat, with most cases presenting as chronic alterations, also known as chronic prostatitis. These patients show symptoms of prostatitis even though no bacteria are found in the prostate fluid. Symptoms include frequent, urgent, and painful urination, and a white discharge may drip from the urethral opening after urinating. Treatment generally involves symptomatic management. If pain symptoms are significant, pain relief medication may be necessary. Some patients may experience anxiety symptoms due to the long-term nature of the condition, requiring the use of anti-anxiety medications. Additional supportive treatments might include warm sitz baths or prostate massage, usually extending over a long treatment period.

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Written by Chen Feng
Urology
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How is prostatitis treated?

Prostatitis is divided into acute prostatitis and chronic prostatitis. Acute prostatitis is generally caused by bacterial infection of the prostate, so antibiotics are needed to control the infection. Additionally, patients with acute prostatitis often experience pain and fever, thus requiring antipyretic analgesics for symptomatic treatment. Chronic prostatitis has a longer duration and is divided into bacterial prostatitis and nonbacterial prostatitis. Bacterial prostatitis generally requires treatment with antibiotics, and those that can penetrate the prostate capsule are preferred. Patients with chronic prostatitis can also benefit from warm sitz baths and prostate massage as auxiliary treatments. During treatment, the diet should be light, avoiding spicy and stimulating foods, avoiding prolonged sitting, and abstaining from alcohol.

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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Can fire therapy cure prostatitis?

Fire therapy actually cannot effectively treat prostatitis, but it can help alleviate the symptoms of prostatitis. For the treatment of prostatitis, it is still necessary to first alleviate and improve the condition by taking medication, and conduct medication treatment under the guidance of a doctor. Do not blindly use medications to avoid worsening the condition. It is important to drink plenty of water and urinate frequently to expel some toxins through urine and prevent urinary tract infections. It is suggested to engage in an appropriate amount of physical exercise regularly to increase the body's resistance and improve the symptoms of the disease.

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Written by Chen Feng
Urology
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What are the symptoms of prostatitis?

Prostatitis is generally divided into acute prostatitis and chronic prostatitis. Acute prostatitis mainly manifests as frequent urination, urgent urination, and painful urination. Patients will also experience pain and discomfort in the perineal area and the suprapubic area. Due to the swelling of the prostate gland in acute prostatitis patients, it compresses the urethra, causing difficulty urinating, thinning of the urine stream, and even an inability to urinate. Some patients may also experience fever. Chronic prostatitis has a longer course and also presents with symptoms of frequent urination, urgent urination, and painful urination. After urinating, patients may notice a white discharge from the urethral opening, and they may also experience pain and discomfort in the perineal area and the suprapubic area. Some patients may also experience sexual dysfunction, such as erectile dysfunction, premature ejaculation, or frequent nocturnal emissions.

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Written by Chen Feng
Urology
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How is prostatitis caused?

Prostatitis is generally caused by the retrograde infection of bacteria in the urethra through the prostatic ducts, and it is often seen in patients with urethritis or cystitis. This is because such patients have a large number of bacteria in the urethra, and these bacteria or pathogenic microorganisms can easily cause prostatitis through retrograde infection. Especially in cases of urethral stones or instrumented operations, such as cystoscopy or ureteroscopic lithotripsy, these conditions are more likely to lead to prostatitis. When prostatitis occurs, symptoms such as frequent urination, urgent urination, and painful urination may be present. The patient may also experience difficulty in urination, a thinner urine stream, interrupted urine flow, and pain or discomfort in the suprapubic area and perineum.

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Written by Chen Feng
Urology
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How to determine if you have prostatitis

To determine whether one has prostatitis, it is necessary to make a comprehensive judgment based on symptoms and relevant examinations. Prostatitis is divided into acute prostatitis and chronic prostatitis. Acute prostatitis tends to be severe and is mainly characterized by frequent, urgent, and painful urination. Patients may also experience pain and discomfort in the pubic and perineal areas. Due to the swelling of the prostate compressing the urethra, most prostatitis patients will have difficulty urinating, a thinning urine stream, or even intermittent urine flow. Examination of the patient's urine generally shows an increase in white blood cells. Chronic prostatitis has a longer course and also presents symptoms of frequent, urgent, and painful urination, with a white discharge dripping from the urethral opening after urination. Examination of the patient's prostate fluid generally shows abnormal changes, such as an increase in white blood cells in the prostate fluid.

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Written by Wang Shuai
Urology
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Is frequent urination alone prostatitis?

Frequent urination is just a symptom of urinary irritation, and there are many causes of frequent urination. Prostatitis is just one of the causes. Additionally, infections in the urinary system, such as urethritis, or the presence of stones or tumors in the bladder, can also lead to symptoms of frequent urination. Therefore, after experiencing frequent urination, it is essential to first visit the urology department at a hospital for routine urine tests and an ultrasonic scan of the urinary system. If necessary, conduct routine examinations of prostate fluid to identify the specific cause of the frequent urination. If it is due to a urinary tract infection, it is crucial to use antibiotics promptly. If it is caused by stones or tumors in the urethra, surgical treatment may be required in a timely manner.

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Written by Wang Shuai
Urology
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Prostatic calcification refers to the presence of calcium deposits in the prostate gland.

Prostatic calcification caused by prostatitis primarily refers to the fibrous calcification deposits that occur in the local tissue of the prostate after the prostatitis has healed. Simply put, it refers to the scar tissue left after a prostate infection. Under color ultrasound examination, it appears as a strong echo cluster, and under CT examination, it appears as a high-density shadow. The presence of prostatic calcification lesions usually does not cause discomfort for most patients and is often discovered during routine ultrasound examinations during physical check-ups. For those cases where there are no discomfort symptoms associated with prostatic calcification lesions or spots, no special treatment is needed, as they do not pose a significant risk to health.

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Written by Wang Shuai
Urology
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What department should I go to for prostatitis?

Prostatitis commonly occurs in young males. After the onset of prostatitis, patients generally exhibit symptoms such as frequent urination, urgent urination, and painful urination. Some patients may also experience heaviness and pain in the perineal and anal region. It is important to timely visit the urology department of a hospital, where diagnosis can be confirmed through routine examination of prostate fluid, culture and antibiogram of prostate fluid, prostate ultrasonography, and even digital rectal examination of the prostate. Treatment should be based on the results of these examinations. If the prostatitis is bacterial, sensitive antibiotics should be used for regular treatment. If the patient has significant urinary discomfort, medications that improve urinary symptoms can be added to the treatment. If the patient also experiences significant pelvic pain, the use of non-steroidal anti-inflammatory pain medications can be considered. (Please take medications under the guidance of a doctor.)

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Written by Zeng Zhong
Urology
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What is the best treatment for prostatitis?

The treatment of prostatitis requires following the treatment plan and course prescribed by the diagnosing doctor, taking medications on time and in the correct dosage. Generally, it is necessary to first conduct a bacterial culture and drug sensitivity test on the prostatic fluid. Based on the results, the pathogenic bacteria and sensitive antibiotics are identified, and then sensitive antibiotics are selected for oral treatment. At the same time, patients should adopt a light diet, avoid spicy and stimulating food, avoid alcohol, avoid prolonged sitting, and avoid holding in urine. A warm water sitz bath can be taken daily.