What is the cause of frequent urination due to prostate?

Men sometimes have symptoms of frequent urination and urgency. They always go to the toilet after drinking a little water, and they are always worried about not being able to find the toilet when they go out. What's more serious is that their sex life is also affected. This situation is mostly caused by problems with the prostate, usually prostatitis. Prostatitis is a disease that men are prone to, especially middle-aged and elderly people, who need to pay special attention. Here we introduce the disease that causes frequent urination due to the prostate - prostatitis.

1. Symptoms

Type I often presents with sudden onset, with systemic symptoms such as chills, fever, fatigue, and weakness, accompanied by perineal and suprapubic pain, and even acute urinary retention. Type II and Type III have similar clinical symptoms, often with pain and abnormal urination. Regardless of the type of chronic prostatitis, similar clinical symptoms can be manifested, collectively referred to as prostatitis syndrome, including pelvic and sacral pain, abnormal urination, and sexual dysfunction. Pelvic and sacral pain is extremely complex, and the pain is generally located in the suprapubic, lumbar and perineal regions. Radiating pain can manifest as pain in the urethra, spermatic cord, testicles, groin, and lateral abdominal area. It radiates to the abdomen, similar to acute abdominal pain, and radiates along the urinary tract, similar to angina, which often leads to misdiagnosis. Abnormal urination is manifested by frequent urination, urgent urination, painful urination, difficulty urinating, bifurcated urine stream, dripping after urination, increased frequency of nocturia, and milky white discharge from the urethra after urination or defecation. Occasionally, sexual dysfunction occurs, including decreased libido, premature ejaculation, painful ejaculation, weak erection, and impotence. Type IV has no clinical symptoms.

2. Treatment

1. Antimicrobial therapy

The discovery of pathogenic pathogens in prostatic fluid culture is the basis for selecting antibacterial drug treatment. If patients with non-bacterial prostatitis have signs of bacterial infection and general treatment is ineffective, they can also be appropriately treated with antibacterial drugs. When choosing antibacterial drugs, it is necessary to pay attention to the presence of a prostate-blood barrier composed of lipid membranes between the prostate acini and the microcirculation, which hinders the passage of water-soluble antibiotics and greatly reduces the therapeutic effect. When prostate stones are present, the stones can become a shelter for bacteria. The above factors constitute the difficulty in the treatment of chronic bacterial prostatitis, which requires a longer course of treatment and is prone to recurrence.

Currently, quinolone drugs such as ofloxacin or levofloxacin are recommended. If ineffective, continue to use it for 8 weeks. If recurrence occurs and the bacterial species remains unchanged, switch to preventive doses to reduce acute attacks and relieve symptoms. If long-term use of antibiotics induces serious side effects, such as pseudomembranous colitis, diarrhea, and the growth of intestinal resistant strains, the treatment plan needs to be changed. Whether non-bacterial prostatitis is suitable for treatment with antibacterial drugs is still controversial in the clinic. Patients with "aseptic" prostatitis can also use drugs that are effective against bacteria and mycoplasmas, such as quinolones, SMZ-TMP or TMP alone, used in combination with tetracycline and quinolones or used intermittently. If antibiotic treatment is ineffective and it is confirmed to be aseptic prostatitis, antibiotic treatment should be discontinued. In addition, using a double balloon catheter to block the prostatic urethra and injecting antibiotic solution from the urethral cavity back into the prostatic duct can also achieve the purpose of treatment.

Type I is mainly treated with broad-spectrum antibiotics, symptomatic treatment and supportive treatment. Type II is recommended to be treated with oral antibiotics, and sensitive drugs are selected. The course of treatment is 4-6 weeks, during which the patient should be evaluated for the efficacy. Type III can first take oral antibiotics for 2 to 4 weeks and then evaluate the efficacy. At the same time, non-steroidal anti-inflammatory drugs, α-receptor antagonists, M-receptor antagonists, etc. are used to improve urination symptoms and pain. Type IV does not require treatment.

2. Anti-inflammatory and analgesic drugs

Nonsteroidal anti-inflammatory drugs can improve symptoms. Generally, indomethacin is taken orally or in suppositories. Chinese medicine also has certain effects in using anti-inflammatory, heat-clearing, detoxifying, and hardness-softening drugs. Allopurinol can reduce the concentration of uric acid in the whole body and prostatic fluid. Theoretically, as a free radical scavenger, it can also remove active oxygen components, reduce inflammation, and relieve pain. It is an optional auxiliary treatment method.

3. Physical therapy

Prostate massage can empty the concentrated secretions in the prostate duct and drain the infection focus in the obstructed area of ​​the gland. Therefore, for stubborn cases, prostate massage can be performed every 3 to 7 days while using antibiotics. A variety of physical factors are used for prostate physiotherapy, such as microwave, radio frequency, ultrashort wave, medium wave and hot water sitz bath, which are beneficial for relaxing the prostate, posterior urethral smooth muscle and pelvic floor muscle, enhancing antibacterial efficacy and relieving pain symptoms.

The above is the analysis of the causes of frequent urination due to prostate, which means that you may have prostatitis. Prostatitis is a chronic disease, and it is generally recommended to be treated with Chinese medicine. Patience is required during the treatment process, and you should not rush. It is best for men to take precautions in advance in their daily lives. In addition to paying attention to regular physical exercise, they should also pay attention to avoiding holding urine, and moderate sexual life.