Chronic prostatitis


Is chronic prostatitis secondary infection easy to treat?
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.


Can I occasionally drink a bottle of red wine with chronic prostatitis?
Patients with chronic prostatitis should not drink red wine. Chronic prostatitis has a long course of disease, mainly characterized by frequent urination, urgency, and painful urination. After urinating, a small amount of white secretion may drip out. Patients may also experience discomfort or pain in the pubic or perineal area. In some severe cases, there might be a decline in sexual function, manifesting as erectile dysfunction or premature ejaculation. Patients with chronic prostatitis generally need to use anti-inflammatory drugs that have a strong ability to penetrate the prostatic capsule, such as erythromycin and doxycycline. During the treatment period, patients should not drink alcohol, sit for long periods, or ride bicycles for an extended time. Treatment can also be complemented with sitz baths and prostate massage. (Please use medication under the guidance of a doctor.)


How should chronic prostatitis tinnitus be treated?
Chronic prostatitis with tinnitus primarily requires treatment targeting chronic prostatitis, which can be divided into chronic bacterial prostatitis and chronic nonbacterial prostatitis. Treatment for chronic bacterial prostatitis generally involves using antibiotics to control the infection. For patients with chronic prostatitis, antibiotics that can penetrate the prostate capsule, such as erythromycin or doxycycline, are needed, and the treatment usually lasts for a relatively long time. Additionally, warm water sitz baths or prostate massage can be used to aid treatment. Patients with chronic nonbacterial prostatitis, as there is no bacterial infection, may not need antibiotic treatment. However, if patients experience pain, analgesics can be used for symptomatic treatment. For patients with a longer duration of illness and anxiety, anxiety treatment is also necessary. Warm water sitz baths or prostate massage can also be used to aid treatment.


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.


Why does chronic prostatitis cause discomfort in the lower abdomen?
Patients with chronic prostatitis, due to the invasion of bacteria within the prostate gland, lead to inflammatory infections in the glandular tissue, causing the patient to feel discomfort and bloating in the lower abdomen. They may also experience swelling and pain in the perineal and lower back areas. Additionally, symptoms include frequent urination, urgent urination, split stream urination, and dripping of white discharge at the opening of the urethra. These are common symptoms of chronic prostatitis. Therefore, patients with chronic prostatitis should visit the urology or andrology department of their local hospital for proper examination and treatment as soon as possible.


Is chronic prostatitis a lifelong disease?
Chronic prostatitis is not a lifelong disease; it can be cured with proper examination and treatment. Patients with chronic prostatitis should not be overly burdened mentally and should actively visit the urology or andrology department of their local hospital for systematic examination. Initially, a bacterial culture of the prostatic fluid should be conducted, along with a drug sensitivity test. By performing prostate massage, prostatic fluid is obtained from the urethral meatus onto a slide, which is then sent for laboratory testing. Based on the results, the pathogen and the antibiotics it is sensitive to are identified, and then the appropriate sensitive antibiotics are selected for the treatment.


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.


Can one have sexual intercourse while taking medication for chronic prostatitis?
Patients with chronic prostatitis can still engage in sexual activities while on medication. Appropriate sexual activity can be beneficial for the treatment of chronic prostatitis, helping to improve discomfort symptoms. However, sexual activities should not be too frequent. Excessive sexual activity or frequent masturbation can lead to excessive congestion of the prostate gland, worsening the symptoms of chronic prostatitis. Therefore, patients should maintain a regular and moderate sexual life during the medication period.


Is chronic prostatitis an incurable disease?
Chronic prostatitis is not an incurable disease; it is a common urological disorder. Chronic prostatitis is most commonly seen in young and middle-aged men, primarily due to bacterial invasion in the prostate gland, leading to inflammation and infection within the gland. Patients with chronic prostatitis should not be overly burdened mentally. It is advisable to actively visit the local hospital's urology or andrology department for systematic examination. Treatment should be based on the examination results, using sensitive antibiotics. Additionally, taking warm water sitz baths every night and regularly visiting the hospital for prostate massage therapy can be beneficial.


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.