Acute prostatitis symptoms, do you have any of these?

Acute prostatitis is a relatively common male disease. In daily life, men often suffer from this disease, which manifests as sudden fever, chills, fatigue, general discomfort, joint pain, muscle pain, frequent urination, urgent urination, urethral burning pain, etc.

1. Clinical manifestations

1. Systemic symptoms: sudden fever, chills, fatigue, general malaise, joint pain, muscle pain, etc.;

2. Urinary symptoms: frequent urination, urgent urination, burning pain in the urethra, dribbling at the end of urination, difficulty urinating or acute urinary retention;

3. Anal and perineal pain, aggravated by urination;

4. Rectal examination: The prostate is swollen and tender, soft in texture, smooth in surface, and has a fluctuating feeling when abscess is formed.

2. Diagnosis and Identification

Diagnosis basis

1. Systemic infection symptoms.

2. Symptoms of bladder irritation during urination.

3. Rectal examination shows signs of prostatitis.

4. The prostatic fluid contains a large number of white blood cells (>10/HP), or pus cells, or a large number of bacteria grow in culture.

3. Disease Treatment

Treatment principles

(I) Acute phase 1. Systemic supportive therapy: fluid supplementation, diuresis, fever reduction and analgesia, bed rest. 2. Antibacterial drugs, intravenous administration until body temperature returns to normal, then oral administration. 3. Incision and drainage if abscess is formed.

(II) Chronic stage 1. Strengthen physical exercise. 2. Avoid alcohol and spicy food. 3. Hot water sitz bath promotes local blood return. 4. Local physical therapy: including antibiotic ion introduction, ultrashort wave, microwave irradiation, etc., all have certain therapeutic effects. 5. Regular prostate massage treatment to squeeze out prostatic fluid. 6. Chinese medicine treatment. Treatment principle: promote blood circulation and remove blood stasis, promote menstruation and activate meridians, soothe the liver and regulate qi, clear away heat and detoxify, promote diuresis. 7. Antibacterial treatment. 8. Drug symptomatic treatment. Recent studies have shown that the use of α-blockers is very important for relieving bladder neck and pelvic floor muscle spasms. 9. Surgical treatment: For chronic prostatitis and infected prostate stones that cannot be cured and are difficult to control by non-surgical treatment, total prostate and seminal vesiculectomy is an effective method.

Medication principles

1. Acute prostatitis is mainly treated with antibiotics.

2. For chronic prostatitis, comprehensive treatment should be given with antibiotics and supportive measures. Choose effective antibiotics (including new and special drugs).