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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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 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 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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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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How to check for prostatitis?

For the examination of prostatitis, the main methods currently used are color ultrasound, routine prostate fluid analysis, culture of prostate fluid, and susceptibility testing. After contracting prostatitis, a color ultrasound examination often reveals varying degrees of prostate swelling, routine prostate fluid analysis will indicate a decrease in lecithin bodies, accompanied by either an increase in white blood cells or normal white blood cell levels. If the lecithin bodies are decreased and there is an increase in white blood cells, bacterial prostatitis is a likely consideration. If the white blood cell count is normal, nonbacterial prostatitis may be considered. Regardless of the type of prostatitis, timely examination and treatment are necessary. If it is bacterial prostatitis, further culture and susceptibility testing of the prostate fluid should be performed, and treatment should be conducted using antibiotics that are sensitive to the results of the susceptibility test.