What causes prostatitis?

Written by Wang Shuai
Urology
Updated on September 09, 2024
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Prostatitis is commonly found in young males, with the main clinical symptoms being frequent urination, urgent urination, and a sensation of incomplete bladder emptying. Prostatitis is primarily divided into bacterial prostatitis and non-bacterial prostatitis. Bacterial prostatitis is mainly caused by local infections, such as in patients with urethritis or epididymitis who have not received timely treatment, leading to the development of bacterial prostatitis. Some cases are due to prostate biopsies or the use of liquid catheters. Non-bacterial prostatitis, on the other hand, is largely associated with poor lifestyle habits, such as prolonged sitting, withholding urine, long-term alcohol consumption, frequent sexual activity, and extended periods of cycling or driving, which can lead to the onset of non-bacterial prostatitis.

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Written by Wang Shuai
Urology
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Can prostatitis affect fertility?

Patients with prostatitis can still be fertile. There are various types of prostatitis, with chronic nonbacterial prostatitis being more common in clinical settings. This type of prostatitis generally does not affect the quality of male semen and does not significantly impact fertility, so there is no need to be overly concerned about fertility issues. However, in the case of bacterial prostatitis, it is possible to culture prostatic fluid and perform susceptibility testing to identify the pathogenic microorganisms causing bacterial prostatitis and the antibiotics they are sensitive to. Active treatment with sensitive antibiotics should be undertaken regularly. Once the bacteria are eradicated, it is then possible to proceed with normal pregnancy planning. Regular physical exercise should be emphasized, avoiding prolonged sitting and holding urine, and consuming a light diet can effectively prevent the occurrence of prostatitis.

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Written by Du Rui Xia
Obstetrics
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Does prostatitis affect pregnancy?

When a man has prostatitis, it can affect the normal chances of a woman becoming pregnant. This is because prostatitis often affects the quality of sperm, leading to conditions such as oligospermia, asthenospermia, and failure of sperm to liquefy. It is advisable to go to the hospital for an examination to determine the specific severity of the condition, and under the guidance of a doctor, medication can be used for treatment. Additionally, it is important to develop good living habits, avoid overwork, ensure adequate sleep, and avoid staying up late. Eating foods rich in zinc can help improve the quality of sperm.

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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.

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Written by Wang Shuai
Urology
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Symptoms of prostatitis pain

Patients with prostatitis, in addition to experiencing urinary discomfort symptoms such as frequent urination, urgency, and incomplete emptying, also experience pain symptoms, primarily manifested as pelvic pain. The pain is mainly located in the perineum, anal area, lower abdomen, and some patients may also experience pain in the sacral and even testicular areas. The pain is generally a persistent discomfort similar to gastrointestinal bloating and is usually not severe. However, in cases of acute bacterial prostatitis, the pain can be intense. If these symptoms occur, prostatitis should be strongly considered, and it is advisable to visit a hospital's urology department for preliminary assessment through ultrasound, routine prostate fluid analysis, and rectal examinations, followed by targeted treatment.

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Written by Wang Shuai
Urology
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What causes prostatitis?

Prostatitis commonly occurs in young males, with various causes, the most common being bacterial infection. If it is bacterial prostatitis caused by bacterial infection, it is often seen in patients who previously suffered from urethritis, seminal vesiculitis, etc., and did not receive timely treatment. The bacteria spread along the reproductive tract to the prostate, causing prostatitis. Additionally, patients with long-term indwelling catheters are also prone to acute prostatitis. Furthermore, prostatic needle biopsies can lead to the condition. Nonbacterial prostatitis is mostly caused by poor lifestyle habits, such as prolonged alcohol consumption, sitting for long periods, holding urine, long-term driving, long-term cycling, and staying up late, all of which can lead to nonbacterial prostatitis.