Chronic Prostatitis - An Infectious Disease?

Date:2011-11-05 click:
Chronic prostatitis refers to the chronic inflammation of prostate tissue caused by various causes, which is the most common disease in urology. It includes chronic bacterial prostatitis and chronic nonbacterial prostatitis.

Among them, chronic bacterial prostatitis is generally caused by pathogen infection, retrograde infection is more common, and Staphylococcus is the main pathogen. There is often a history of recurrent urinary tract infection or persistent pathogens in the prostatic massage fluid.
Non-bacterial prostatitis is a complex pathological change of inflammation, immunity, and neuroendocrine, which is caused by many complicated causes and inducements. It leads to the main clinical manifestations of urinary tract irritation and chronic pelvic pain and often combined with mental and psychological symptoms. The course of the disease is long, and the condition is recurrent.
1. Pain
The pain symptoms are mainly manifested in the pain of the prostate as the center and radiating the surrounding tissues, which are common in the scrotum, testicles, abdomen, perineum, lumbosacral, medial thigh and other parts.
2. Urination problems
It is manifested as frequent and urgent urination, painful urination, burning of the urethra, residual urine, or white secretion overflowing from the urethra in the morning, at the end of urination or defecation.
3. Psychoneurosis
Patients often have dizziness, tinnitus, insomnia, anxiety and depression, or even impotence, premature ejaculation, spermatorrhea and so on.
Detailed medical history, comprehensive physical examination (including digital rectal examination), routine urine and prostate massage fluid examination are generally required. It is recommended to use NIH chronic prostatitis symptom index for symptom scoring. Two cup method or four-cup method is recommended for the pathogen location test.

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