Prostatitis is caused by a variety of complex causes with urethral irritation symptoms and chronic pelvic pain as the main clinical manifestations. Prostatitis is a common disease in urology. It ranks first among male patients under 50 years old in urology. Despite the high incidence of prostatitis, the etiology of prostatitis is still unclear, especially non-bacterial prostatitis, so its treatment is mainly to improve symptoms.
Most hospitals, whether urological or male, are based on the routine results of prostatic fluid, but the routine examination of prostatic fluid is not thorough. The diagnostic criteria are clear: routine examination of prostatic fluid, white blood cell count of high field of vision more than ten times, and lecithin body reduction have diagnostic significance. Only when the bacterial culture is completed can the bacterial growth be diagnosed.
That is to say, only the prostatic fluid routine examination report, any patient can not make a diagnosis of bacterial prostatitis, which is extremely unscientific. Patients with male prostatitis should undergo biochemical examination, and even young patients should have at least blood testosterone, especially chronic prostatitis and epididymitis.
Physical, psychological status, function, serum testosterone and the content of common mental and mental symptoms of body orchitis are closely related. Blood testosterone levels in the prostate, testis and epididymis must be reduced to varying degrees. More importantly, the increase of testosterone level is closely related to the treatment and prognosis of prostate and reproductive system. The content of testosterone in blood increased rapidly, blood circulation increased, immunity increased, tissue repair increased, and symptoms improved significantly.
For young and middle-aged patients, sperm viability, viability, white blood cells and number can be known through semen. It helps to diagnose the extent and association of reproductive system infections. Ultrasound and CT examination showed uneven distribution of prostate tissue points. Urinary flow rate was obstructive in some patients. Few patients had residual urine, enlarged seminal caruncle and ridge of seminal vesicle and urethra. It was also helpful for imaging diagnosis of benign prostatic hyperplasia in the elderly with prostatitis.
If there are signs of bacterial infection in patients with non-bacterial prostatitis who are not cured by general therapy, they can also antimicrobial drugs. It should be noted that there is a prostate-blood barrier composed of lipid membranes between the prostate acinar and microcirculation, which hinders the passage of water-soluble antibiotics and greatly reduces the therapeutic effect.
Non-steroidal anti-inflammatory drugs can improve symptoms. Indomethacin is usually taken orally or suppositories.Anti-inflammatory, heat-clearing, detoxification and soft and hard drugs are also used in herbal medicine and have the same effect.