Prostatitis is caused by what?

Written by Wang Shuai
Urology
Updated on September 20, 2024
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The occurrence of prostatitis is mainly due to infections of the prostate or some non-infectious factors. Infectious factors are primarily due to previously untreated conditions such as urethritis or seminal vesiculitis. Bacteria spread along the urinary and reproductive tracts to the prostate, causing infection. Non-infectious factors mainly include poor lifestyle habits, such as prolonged sitting, holding urine, long-distance driving, long periods of cycling, frequent sexual activity, and long-term alcohol consumption. Prostatitis is also related to some endocrine diseases or psychological factors. After developing prostatitis, patients may experience symptoms such as frequent urination, urgent urination, incomplete urination, and a sense of weighty pain in the perineum, anal region, and lower abdomen. It is important to visit a hospital's urology department for a detailed examination and 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.

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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 Wang Shuai
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How does a urine test determine prostatitis?

A routine urinalysis cannot determine prostatitis. It can, however, rule out other urinary system infections such as urethritis or cystitis through routine urinalysis. If the urinalysis is normal but the patient still exhibits symptoms like frequent urination, urgency, and incomplete emptying of the bladder, this may indirectly suggest the possibility of prostatitis. In cases of acute bacterial prostatitis, the urinalysis may show varying degrees of increased white blood cells. To confirm prostatitis, it is best to examine the prostate fluid for lecithin corpuscles and white blood cells.

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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 Chen Feng
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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.