Can prostatitis heal itself?

Written by Zhang Da Wei
General Surgery
Updated on September 01, 2024
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Prostatitis can have a certain degree of self-healing capability. Generally, mild prostatitis can be managed by improving lifestyle habits, such as by increasing water intake, enhancing overall lifestyle habits, engaging in regular exercise, and maintaining controlled sexual activity, among others, which can all benefit the self-healing of the prostate. Additionally, when prostatitis occurs, it may be observed initially before considering medication. In cases of nonbacterial prostatitis, oral medication is generally not necessary; rather, treatments such as sitz baths can be used to achieve therapeutic goals. For bacterial prostatitis, it can generally be treated with anti-inflammatory medications to achieve some improvement. Of course, the best way to facilitate self-healing of prostatitis is by improving daily lifestyle habits. (Specific medications should be taken under the guidance of a physician.)

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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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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 Chen Feng
Urology
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How is prostatitis caused?

Prostatitis is generally caused by the retrograde infection of bacteria in the urethra through the prostatic ducts, and it is often seen in patients with urethritis or cystitis. This is because such patients have a large number of bacteria in the urethra, and these bacteria or pathogenic microorganisms can easily cause prostatitis through retrograde infection. Especially in cases of urethral stones or instrumented operations, such as cystoscopy or ureteroscopic lithotripsy, these conditions are more likely to lead to prostatitis. When prostatitis occurs, symptoms such as frequent urination, urgent urination, and painful urination may be present. The patient may also experience difficulty in urination, a thinner urine stream, interrupted urine flow, and pain or discomfort in the suprapubic area and perineum.

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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 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.