How is prostatitis caused?

Written by Chen Feng
Urology
Updated on October 31, 2024
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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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Where does prostatitis hurt?

Patients with prostatitis mainly present with symptoms of urinary discomfort and pelvic pain. Urinary discomfort typically manifests as frequent urination, urgency, and a feeling of incomplete bladder emptying. Pain symptoms mainly include pain around the pelvic area, usually located in the lower abdomen, perineum, and anal region. Some patients may experience pain in the sacral area, with the pain being continuous, distending, or sore. When such symptoms occur, prostatitis should be considered as a likely possibility. It is advisable to promptly visit the urology department of a regular public hospital where diagnosis can be confirmed through ultrasound, digital rectal examination, and routine prostate fluid analysis. Targeted treatment should then be administered, and if necessary, some non-steroidal anti-inflammatory drugs can be taken orally for pain relief. (Please use medications under the guidance of a doctor.)

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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
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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
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Is urinary retention prostatitis?

Urinary hesitation is just a symptom, with various underlying causes. It cannot be determined whether it is due to prostatitis solely based on the symptom of urinary hesitation. In addition to prostatitis, prostate enlargement, prostate cancer, bladder diseases, or dysfunction of the detrusor muscle can also lead to urinary hesitation. Upon experiencing urinary hesitation, it is advisable to promptly visit the urology department of a hospital for diagnosis through ultrasonography, CT scans, routine prostate fluid analysis, and even urodynamic testing to determine the specific cause of the urinary hesitation. If it is caused by prostatitis, the routine analysis of prostate fluid often indicates a reduction in lecithin bodies. If it is bacterial prostatitis, there will also be an increase in white blood cells.