Prostatitis: Diagnosis Methods

Written by Wang Shuai
Urology
Updated on August 31, 2024
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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 Wang Shuai
Urology
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What causes prostatitis?

Prostatitis is commonly found in young males, with the main clinical symptoms being frequent urination, urgent urination, and a sensation of incomplete bladder emptying. Prostatitis is primarily divided into bacterial prostatitis and non-bacterial prostatitis. Bacterial prostatitis is mainly caused by local infections, such as in patients with urethritis or epididymitis who have not received timely treatment, leading to the development of bacterial prostatitis. Some cases are due to prostate biopsies or the use of liquid catheters. Non-bacterial prostatitis, on the other hand, is largely associated with poor lifestyle habits, such as prolonged sitting, withholding urine, long-term alcohol consumption, frequent sexual activity, and extended periods of cycling or driving, which can lead to the onset of non-bacterial prostatitis.

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Written by Wang Shuai
Urology
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Does prostatitis affect sexual life?

After suffering from prostatitis, it will indeed impact male sexual function. Patients with prostatitis need to undergo routine prostate fluid examinations to confirm the diagnosis. If there is a significant decrease in lecithin bodies, most patients will experience premature ejaculation or even erectile dysfunction. Therefore, timely treatment is necessary if diagnosed with prostatitis. Patients with prostatitis should not have sex too frequently; it is suggested to have sexual activities about once every three days. Having sex too frequently can easily exacerbate the symptoms of prostatitis. During the treatment period for prostatitis, it is also important to maintain a light diet and avoid spicy and stimulating foods.

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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.

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Written by Wang Shuai
Urology
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What are the symptoms of prostatitis?

Prostatitis is commonly found in young males, with main clinical symptoms including frequent urination, urgent urination, and a feeling of incomplete bladder emptying. Some patients may also experience discomfort and pain in the perineal, anal, and lower abdominal areas. If it is chronic prostatitis which has not healed for a long time, some patients may also experience irritability, depression, insomnia, and other negative emotions. After being diagnosed with prostatitis, it is necessary to go to the hospital's urology department for a thorough examination to identify the specific causes and pathogenic bacteria of prostatitis. Treatment should be conducted with appropriate antibiotics based on the sensitivity test results, generally for a duration of 3 to 4 weeks. Additionally, it is important to maintain a light diet, avoid spicy and irritating foods, and abstain from smoking and drinking. (Please use medication under the guidance of a doctor.)

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Written by Chen Feng
Urology
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How is prostatitis treated?

Prostatitis is divided into acute prostatitis and chronic prostatitis. Acute prostatitis is generally caused by bacterial infection of the prostate, so antibiotics are needed to control the infection. Additionally, patients with acute prostatitis often experience pain and fever, thus requiring antipyretic analgesics for symptomatic treatment. Chronic prostatitis has a longer duration and is divided into bacterial prostatitis and nonbacterial prostatitis. Bacterial prostatitis generally requires treatment with antibiotics, and those that can penetrate the prostate capsule are preferred. Patients with chronic prostatitis can also benefit from warm sitz baths and prostate massage as auxiliary treatments. During treatment, the diet should be light, avoiding spicy and stimulating foods, avoiding prolonged sitting, and abstaining from alcohol.