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 Chen Feng
Urology
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What are the symptoms of prostatitis?

Prostatitis is generally divided into acute prostatitis and chronic prostatitis. Acute prostatitis mainly manifests as frequent urination, urgent urination, and painful urination. Patients will also experience pain and discomfort in the perineal area and the suprapubic area. Due to the swelling of the prostate gland in acute prostatitis patients, it compresses the urethra, causing difficulty urinating, thinning of the urine stream, and even an inability to urinate. Some patients may also experience fever. Chronic prostatitis has a longer course and also presents with symptoms of frequent urination, urgent urination, and painful urination. After urinating, patients may notice a white discharge from the urethral opening, and they may also experience pain and discomfort in the perineal area and the suprapubic area. Some patients may also experience sexual dysfunction, such as erectile dysfunction, premature ejaculation, or frequent nocturnal emissions.

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Written by Chen Feng
Urology
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Is nonbacterial prostatitis easy to treat?

Sterile prostatitis is generally difficult to treat, with most cases presenting as chronic alterations, also known as chronic prostatitis. These patients show symptoms of prostatitis even though no bacteria are found in the prostate fluid. Symptoms include frequent, urgent, and painful urination, and a white discharge may drip from the urethral opening after urinating. Treatment generally involves symptomatic management. If pain symptoms are significant, pain relief medication may be necessary. Some patients may experience anxiety symptoms due to the long-term nature of the condition, requiring the use of anti-anxiety medications. Additional supportive treatments might include warm sitz baths or prostate massage, usually extending over a long treatment period.

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Written by Wang Shuai
Urology
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Prostatitis is caused by what?

The occurrence of prostatitis is mainly due to infections of the prostate or some non-infectious factors. Infectious factors are primarily due to previously untreated conditions such as urethritis or seminal vesiculitis. Bacteria spread along the urinary and reproductive tracts to the prostate, causing infection. Non-infectious factors mainly include poor lifestyle habits, such as prolonged sitting, holding urine, long-distance driving, long periods of cycling, frequent sexual activity, and long-term alcohol consumption. Prostatitis is also related to some endocrine diseases or psychological factors. After developing prostatitis, patients may experience symptoms such as frequent urination, urgent urination, incomplete urination, and a sense of weighty pain in the perineum, anal region, and lower abdomen. It is important to visit a hospital's urology department for a detailed examination and targeted treatment.

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Written by Wang Shuai
Urology
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Is frequent urination alone prostatitis?

Frequent urination is just a symptom of urinary irritation, and there are many causes of frequent urination. Prostatitis is just one of the causes. Additionally, infections in the urinary system, such as urethritis, or the presence of stones or tumors in the bladder, can also lead to symptoms of frequent urination. Therefore, after experiencing frequent urination, it is essential to first visit the urology department at a hospital for routine urine tests and an ultrasonic scan of the urinary system. If necessary, conduct routine examinations of prostate fluid to identify the specific cause of the frequent urination. If it is due to a urinary tract infection, it is crucial to use antibiotics promptly. If it is caused by stones or tumors in the urethra, surgical treatment may be required in a timely manner.

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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.