Is chronic prostatitis secondary infection easy to treat?

Written by Wang Shuai
Urology
Updated on January 02, 2025
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Patients with chronic prostatitis who develop secondary infections need to clearly identify the pathogenic bacteria and the corresponding sensitive drugs to facilitate treatment. This can be determined through culturing the prostatic fluid and conducting sensitivity tests. Once the pathogenic bacteria and their sensitive drugs are identified, targeted and rational treatment can generally be more effectively managed. For chronic prostatitis patients, it is crucial to maintain a regular medication schedule and enhance lifestyle care, including eating a light diet, avoiding spicy and irritating foods, and regulating the frequency of sexual activity.

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Written by Zeng Zhong
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How to treat chronic prostatitis with anal distension and pain?

Patients with chronic prostatitis who experience anal heaviness and pain can, under the guidance of a doctor during a face-to-face consultation, use some non-steroidal anti-inflammatory drugs to relieve the heaviness and pain. They can also use some anti-inflammatory and analgesic suppositories, inserted into the anus, to alleviate these symptoms. Additionally, patients can take a warm water sitz bath daily, sitting in a basin of warm clean water, which can promote blood circulation within the prostate gland and greatly help improve symptoms of anal heaviness and pain.

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Written by Wang Shuai
Urology
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Can chronic prostatitis be transmitted to the female partner during intercourse?

There are several types of chronic prostatitis, with nonbacterial prostatitis being the most common clinically. This type of prostatitis is not contagious during sexual activity, so there is no need for concern. However, chronic bacterial prostatitis can potentially be contagious, particularly when caused by Mycoplasma or Chlamydia infections. These pathogens can travel with semen into the female vagina, leading to vaginitis. Therefore, it is best for patients with prostatitis to undergo prostate fluid culture and sensitivity tests to determine the specific type, followed by targeted treatment.

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Written by Zeng Zhong
Urology
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How to treat testicular pain caused by chronic prostatitis?

Chronic prostatitis may cause testicular pain, possibly due to the inflammation spreading from the prostate gland to the testicles, resulting in testicular inflammation. Patients should undergo a color ultrasound examination under the guidance of a doctor to observe the condition of the testicles. After confirmation, treatment can include oral or intravenous administration of broad-spectrum antibiotics. Additionally, patients should rest in bed, minimize activity, and support the scrotum with soft clothing, which can help reduce testicular swelling and alleviate pain.

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Written by Zeng Zhong
Urology
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How much water should be drunk daily for chronic prostatitis?

Patients with chronic prostatitis need to drink plenty of water. It is best to maintain a daily water intake of more than 1500 milliliters, preferably drinking warm boiled water. Patients with chronic prostatitis should adhere to a light, easily digestible diet in their daily lives, avoid spicy and irritating foods, and abstain from alcohol. Chronic prostatitis requires the cultivation of prostatic fluid bacteria, combined with the results of drug sensitivity tests, to select sensitive antibiotics for treatment. Additionally, patients can take warm water sitz baths every evening and regularly visit the hospital for prostate massages, which can greatly aid in treatment.

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Written by Zeng Zhong
Urology
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Can chronic prostatitis be detected by B-ultrasound?

Chronic prostatitis cannot be detected by ultrasound. Ultrasound can only observe the size of the prostate and whether there are nodules inside the prostate gland, but it cannot diagnose whether a patient has chronic prostatitis. Chronic prostatitis must be diagnosed through routine examination of prostate fluid. Patients can visit the urology department of their local hospital for this examination. The first step involves prostate massage. Through this massage, prostate fluid is extracted from the external opening of the urethra, and then this fluid is tested in the laboratory for diagnosis.