What causes prostatitis?

Written by Wang Shuai
Urology
Updated on September 07, 2024
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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.

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Written by Wang Shuai
Urology
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Prostatitis: Diagnosis Methods

For the diagnosis of prostatitis, it is necessary to diagnose through the patient's medical history, clinical manifestations, and related examinations. People with prostatitis often have obvious symptoms such as frequent urination, urgency, incomplete urination, pain and heaviness in the perineum and lower abdomen. A routine prostate fluid examination will reveal a decrease in lecithin bodies and possibly an increase in white blood cells. If there is an increase in white blood cells, bacterial prostatitis should be considered. Further prostate fluid culture and drug sensitivity testing are needed to identify the pathogen causing prostatitis and the drugs it is sensitive to. Then, based on the test results, sensitive antibiotics are used for treatment for about 4 weeks. (Please use medication under the guidance of a doctor.)

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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Symptoms of damp-heat prostatitis

Damp-heat type prostatitis is characterized by varying degrees of frequent urination, urgency, and pain during urination. Additionally, at the end of urination or when straining during a bowel movement, a milky or turbid secretion may be discharged. This may also be accompanied by painful ejaculation and premature ejaculation. Therefore, if these symptoms occur, timely treatment is necessary. Treatment can be achieved through taking certain medications. It is also important to maintain personal hygiene, regularly clean and change clothing. Clothing should be sun-dried to effectively kill bacteria and prevent some diseases. (Medication should be taken under the guidance of a professional doctor.)

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Written by Wang Shuai
Urology
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Is urinary retention prostatitis?

Urinary hesitation is just a symptom, with various underlying causes. It cannot be determined whether it is due to prostatitis solely based on the symptom of urinary hesitation. In addition to prostatitis, prostate enlargement, prostate cancer, bladder diseases, or dysfunction of the detrusor muscle can also lead to urinary hesitation. Upon experiencing urinary hesitation, it is advisable to promptly visit the urology department of a hospital for diagnosis through ultrasonography, CT scans, routine prostate fluid analysis, and even urodynamic testing to determine the specific cause of the urinary hesitation. If it is caused by prostatitis, the routine analysis of prostate fluid often indicates a reduction in lecithin bodies. If it is bacterial prostatitis, there will also be an increase in white blood cells.

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Written by Wang Shuai
Urology
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How to check for prostatitis?

For the examination of prostatitis, the main methods currently used are color ultrasound, routine prostate fluid analysis, culture of prostate fluid, and susceptibility testing. After contracting prostatitis, a color ultrasound examination often reveals varying degrees of prostate swelling, routine prostate fluid analysis will indicate a decrease in lecithin bodies, accompanied by either an increase in white blood cells or normal white blood cell levels. If the lecithin bodies are decreased and there is an increase in white blood cells, bacterial prostatitis is a likely consideration. If the white blood cell count is normal, nonbacterial prostatitis may be considered. Regardless of the type of prostatitis, timely examination and treatment are necessary. If it is bacterial prostatitis, further culture and susceptibility testing of the prostate fluid should be performed, and treatment should be conducted using antibiotics that are sensitive to the results of the susceptibility test.

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Written by Zhou Zi Hua
Oncology
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The difference between prostate cancer and prostatitis

Prostatitis and prostate cancer have different causes. Prostatitis is caused by the invasion of pathogens into the prostate, whereas prostate cancer is mostly related to genetics, lifestyle and dietary habits, and genetic mutations. Their clinical manifestations are inconsistent; prostatitis mainly presents as pain or abnormal urination, while prostate cancer primarily shows symptoms of compression and metastasis. Of course, their treatment methods are also different.