How to Distinguish Chronic Prostatitis from Other Prostate Diseases

 

 

Symptoms are similar to those of chronic prostatitis, but often along with a history of urinary tuberculosis or other tuberculous lesions, an irregular nodular prostate on digital rectal examination, enlarged and firm epididymides, beaded induration of the vas deferens, and direct smear or PCR testing of the prostatic fluid for tuberculosis.

 

 

These patients present with persistent urinary frequency, dysuria, pain and discomfort in the perineum, lower abdomen, lumbosacral region, etc., which worsens after being sedentary and cycling. On digital rectal examination, tenderness can be evident in both levator ani muscles, however palpation of the prostate is normal without tenderness. In the past, this disease was referred to as piriformis and levator ani syndrome, with normal microscopic examination of prostatic fluid and no growth in bacterial culture.

 

 

Clinically, it often presents with symptoms of chronic prostatitis, but anal examination and prostatic fluid examination are normal. The main features are marked as tenderness at the pubic symphysis, pelvic X-ray showing widening of the pubic symphysis space > 10 mm, a difference of > 2 mm at the level of the bilateral suprapubic branches, and irregular margins of the pubic symphysis with corrosion and reactive osteosclerosis.

 

 

Most complications of acute bacterial prostatitis occur in patients between the ages of 50 and 60. Half of the patients have acute urinary retention, urinary frequency, dysuria, rectal discomfort, urethral discharge, and some even have epididymitis. On digital rectal examination, the side of prostacyclism is enlarged, soft to touch, and fluctuant. Occasional prostatic abscesses may rupture spontaneously into the urethra or into the rectum and are mistaken for perirectal abscesses.

 

 

 

It refers to calculi that occur in the prostatic acini and ducts. It is associated with factors such as chronic inflammation of the prostate, prostatic fluid retention, glandular duct stenosis, and metabolic disorders. Inorganic salts such as calcium oxalate, calcium phosphate, and magnesium phosphate are deposited on the amyloid bodies, epithelial cells, and inflammatory exudates in the prostatic acini to form stones. Patients may present with various symptoms of chronic prostatitis, but digital rectal examination may show a stone friction in the prostate gland. Pelvic X-ray has a positive stone shadow on one side of the symphysis pubis. Ultrasonography may show a strong light band at the site of prostatic stones with acoustic shadowing.

 

 

In the late stage, urinary frequency, dysuria and other symptoms may occur, but patients often have significant systemic symptoms such as emaciation, fatigue, anemia, and loss of appetite, and digital rectal examination shows a hard, stone-like mass in the prostate with uneven surface, increased serum prostate specific antigen and prostatic acid phosphatase. Cancer cells can be found by prostate biopsy, and ultrasound examination shows enlarged glands, untidy or defective boundary echoes, uneven internal light spots, and brighter light spots or light masses at the cancer site. On CT examination, the prostate is asymmetrically shaped, and if the tumor infiltrates outside the capsule, the interstitial space between the seminal vesicle and the posterior wall of the bladder is seen to disappear. CT can determine the degree of invasion of prostate cancer.

 

 

So if there are frequent urination, dysuria or other symptoms, one should go to the hospital for examination timely. With the diagnosis of chronic prostatitis, the patient can take the natural medicine Diuretic and Anti-inflammatory Pill. It is known that long-term use of antibiotics will produce drug resistance and side effects, so the cure rate of chemical medicine on chronic prostatitis is not high, which is also an important factor for chronic prostatitis to become recurrent. For non-bacterial prostatitis, antibiotics are even untreatable. 

 

Diuretic and Anti-inflammatory pill does not produce side effects or drug resistance, that's why it can exert efficacy constantly, usually along with a diet plan, one can have their chronic prostatitis cured without recurrence after 1 to 3 courses.