What is the best treatment for prostatitis?

Written by Zeng Zhong
Urology
Updated on September 26, 2024
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The treatment of prostatitis requires following the treatment plan and course prescribed by the diagnosing doctor, taking medications on time and in the correct dosage. Generally, it is necessary to first conduct a bacterial culture and drug sensitivity test on the prostatic fluid. Based on the results, the pathogenic bacteria and sensitive antibiotics are identified, and then sensitive antibiotics are selected for oral treatment. At the same time, patients should adopt a light diet, avoid spicy and stimulating food, avoid alcohol, avoid prolonged sitting, and avoid holding in urine. A warm water sitz bath can be taken daily.

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Written by Zhang Da Wei
General Surgery
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Location of prostatitis pain

Prostate disease is a relatively common condition in the department of urology, and it is divided into acute and chronic phases. Generally, when pain occurs, it can cause edema around the prostate, which may lead to some painful symptoms of expansion. The main areas that may cause pain are the lower abdomen, bilateral groin, inner thighs, or scrotum and testicles. In severe cases, there might be a sensation of heaviness and pain in the lumbosacral area, or even around the anus. Therefore, when these symptoms appear, the first step should be to determine whether they are related to prostatitis, through diagnostic tests such as color ultrasound or analysis of prostate fluid. This can confirm whether the pain is caused by prostatitis. It is also important to improve pain management and treat the condition promptly to help prevent recurrent attacks and the development of a chronic disease.

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Written by Wang Shuai
Urology
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How does a urine test determine prostatitis?

A routine urinalysis cannot determine prostatitis. It can, however, rule out other urinary system infections such as urethritis or cystitis through routine urinalysis. If the urinalysis is normal but the patient still exhibits symptoms like frequent urination, urgency, and incomplete emptying of the bladder, this may indirectly suggest the possibility of prostatitis. In cases of acute bacterial prostatitis, the urinalysis may show varying degrees of increased white blood cells. To confirm prostatitis, it is best to examine the prostate fluid for lecithin corpuscles and white blood cells.

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Written by Wang Shuai
Urology
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Symptoms of prostatitis pain

Patients with prostatitis, in addition to experiencing urinary discomfort symptoms such as frequent urination, urgency, and incomplete emptying, also experience pain symptoms, primarily manifested as pelvic pain. The pain is mainly located in the perineum, anal area, lower abdomen, and some patients may also experience pain in the sacral and even testicular areas. The pain is generally a persistent discomfort similar to gastrointestinal bloating and is usually not severe. However, in cases of acute bacterial prostatitis, the pain can be intense. If these symptoms occur, prostatitis should be strongly considered, and it is advisable to visit a hospital's urology department for preliminary assessment through ultrasound, routine prostate fluid analysis, and rectal examinations, followed by targeted treatment.

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Written by Wang Shuai
Urology
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Is frequent and urgent urination a symptom of prostatitis?

Frequent urination and urinary urgency are both symptoms of urinary irritation. There are many reasons that can cause frequent urination and urgency, and these symptoms alone cannot diagnose prostatitis. Initially, it is crucial to conduct routine urine tests and ultrasounds to preliminarily determine the specific causes of frequent urination and urgency. Besides prostate diseases, common causes include urethritis, urethral stones, urethral tumors, urethral stricture, bladder stones, or even stones in the ureter, all of which can lead to frequent urination and urgency. Therefore, if symptoms of frequent urination and urgency occur, it is necessary to visit the hospital's urology department promptly for relevant examinations to determine the specific causes.

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Written by Wang Shuai
Urology
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What causes prostatitis?

Prostatitis commonly occurs in young males, with various causes, the most common being bacterial infection. If it is bacterial prostatitis caused by bacterial infection, it is often seen in patients who previously suffered from urethritis, seminal vesiculitis, etc., and did not receive timely treatment. The bacteria spread along the reproductive tract to the prostate, causing prostatitis. Additionally, patients with long-term indwelling catheters are also prone to acute prostatitis. Furthermore, prostatic needle biopsies can lead to the condition. Nonbacterial prostatitis is mostly caused by poor lifestyle habits, such as prolonged alcohol consumption, sitting for long periods, holding urine, long-term driving, long-term cycling, and staying up late, all of which can lead to nonbacterial prostatitis.