What causes prostatitis? Five major causes of prostatitis

What causes male prostatitis? Since prostatitis is a common male disease and the incidence rate is very high recently, many men suffer from prostatitis. So what causes male prostatitis? Let's listen to the introduction of experts from Zhangzhou Bo'ai Hospital.

Experts point out that the common causes of prostatitis are as follows:

1. Prostate congestion. In daily life, there are many factors that can cause prostate congestion. For example, passive congestion of the prostate caused by abnormal sexual life, excessive sexual life, forced interruption of sexual intercourse, excessive sexual restraint, etc. is an important pathogenic factor of prostatitis.

2. Infection by pathogenic microorganisms. The second is the disease of prostatitis caused by bacterial infection. Various microorganisms such as bacteria, protozoa, fungi, viruses, etc. can become the source of infection for prostatitis, among which bacteria are the most common, such as gonococci and non-gonococci.

3. Urine irritation: Urine contains a variety of acidic and alkaline chemicals. When the patient has local neuroendocrine disorders, causing excessive posterior urethral pressure, damage to the opening of the prostate duct, or decreased resistance, it will induce chronic prostatitis.

4. Immune factors and allergies: Clinically, it is found that allergic reactions to certain viruses can also lead to inflammation, especially in some patients with low body resistance, who are more sensitive to viruses and easily induce chronic prostatitis.

5. Mental factors. For example, some patients find that they have symptoms, so they are mentally stimulated and become anxious, depressed, and fearful. In fact, the perceived symptoms are often greater than the actual condition. This situation is called "tension-type prostatitis." And psychological factors often directly affect the effect of drug treatment

. We know how prostatitis is caused, so how to diagnose whether you have prostatitis?

Doctors often encounter such patients who say as soon as they enter the door: "Doctor, I have prostatitis, please prescribe some medicine for me." When asked where he has been to the hospital and what tests he has done, he can't explain clearly.

In fact, chronic prostatitis is one of the most common diseases in men's outpatient clinics. Although the disease is not serious, there are many patients, especially young people. After the disease, the mental burden is heavy and it affects work and study. Therefore, we will give a more detailed explanation of the diagnosis of prostatitis.

Prostatitis is divided into two types: acute prostatitis and chronic prostatitis. Acute prostatitis is generally caused by bacterial infection. The onset is sudden, with symptoms of urinary tract irritation such as chills, high fever, frequent urination, urgency, and pain during urination, accompanied by perineal swelling and pain. The symptoms are obvious, the diagnosis is relatively easy, and hospitalization is often required. Chronic prostatitis can be caused by unhealed acute prostatitis. Some also show chronic symptoms from the beginning. To make a diagnosis, in addition to clinical manifestations: changes in urination and urethral secretions (white secretions often flow out of the urethra after urination and defecation), dull pain, soreness and discomfort in the lower abdomen, perineum and lumbar sacral area, decreased sexual function and mental and neurological symptoms, we should also do some auxiliary examinations to make a clear diagnosis.

The following are the commonly used examination methods:

1. Rectal examination shows that

the prostate is full, enlarged, soft and slightly tender. If the disease lasts for a long time, the prostate will become smaller, harder, uneven in texture and have small nodules. At the same time, the prostate massage method should be used to obtain prostate fluid for a routine examination.

2. Prostatic fluid examination:

If there are more than 10 white blood cells in the prostatic fluid in the high-power field of view of the microscope and the lecithin bodies are reduced, it can be diagnosed as prostatitis. If bacterial culture is performed at the same time, a clear diagnosis and classification of chronic prostatitis can be made. If the bacterial culture result of prostatitis fluid is positive, chronic bacterial prostatitis is diagnosed; otherwise, it is chronic non-bacterial prostatitis.

3. B-ultrasound examination shows that the boundaries of the prostate tissue structure are unclear and disordered, which can indicate prostatitis.

After the above-mentioned examinations, we can diagnose, identify and classify prostatitis. In addition, another type of prostate disease is diagnosed based on the results of the examination: prostatitis, which has the symptoms of chronic prostatitis in clinical practice, especially obvious pain in the pelvic cavity and perineum, while the prostate fluid examination is normal and no bacteria grow in the culture. Therefore, experts recommend that patients with symptoms of prostatitis should not blindly diagnose themselves, but should go to the hospital for corresponding examinations and diagnoses to guide treatment and medication to reduce unnecessary waste.

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