How is prostatitis treated?

Written by Chen Feng
Urology
Updated on December 09, 2024
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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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Location of prostatitis pain

Prostate disease is a relatively common condition in the department of urology, and it is divided into acute and chronic phases. Generally, when pain occurs, it can cause edema around the prostate, which may lead to some painful symptoms of expansion. The main areas that may cause pain are the lower abdomen, bilateral groin, inner thighs, or scrotum and testicles. In severe cases, there might be a sensation of heaviness and pain in the lumbosacral area, or even around the anus. Therefore, when these symptoms appear, the first step should be to determine whether they are related to prostatitis, through diagnostic tests such as color ultrasound or analysis of prostate fluid. This can confirm whether the pain is caused by prostatitis. It is also important to improve pain management and treat the condition promptly to help prevent recurrent attacks and the development of a chronic disease.

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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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The difference between prostate cancer and prostatitis

Prostatitis and prostate cancer have different causes. Prostatitis is caused by the invasion of pathogens into the prostate, whereas prostate cancer is mostly related to genetics, lifestyle and dietary habits, and genetic mutations. Their clinical manifestations are inconsistent; prostatitis mainly presents as pain or abnormal urination, while prostate cancer primarily shows symptoms of compression and metastasis. Of course, their treatment methods are also different.

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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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What are the symptoms of prostatitis?

Prostatitis is commonly found in young males, with main clinical symptoms including frequent urination, urgent urination, and a feeling of incomplete bladder emptying. Some patients may also experience discomfort and pain in the perineal, anal, and lower abdominal areas. If it is chronic prostatitis which has not healed for a long time, some patients may also experience irritability, depression, insomnia, and other negative emotions. After being diagnosed with prostatitis, it is necessary to go to the hospital's urology department for a thorough examination to identify the specific causes and pathogenic bacteria of prostatitis. Treatment should be conducted with appropriate antibiotics based on the sensitivity test results, generally for a duration of 3 to 4 weeks. Additionally, it is important to maintain a light diet, avoid spicy and irritating foods, and abstain from smoking and drinking. (Please use medication under the guidance of a doctor.)