How to diagnose granulomatous prostatitis

Patient's question:

How does prostatitis cause granulomatous prostatitis? Recently, due to poor health, I felt completely lacking in energy and caught cold several times. When I went to the hospital for a thorough check-up, the doctor surprisingly asked me to get tested for prostatitis. The results came back saying I had chronic prostatitis?

Doctor's answer:

Typical symptoms include abnormal urination, pain in the lumbar-sacral region, lower abdomen, perineum, pubic area, groin, inner thighs, and testicles, sexual dysfunction, and symptoms of neurasthenia. The causes of prostatitis include:
1. Bacterial infection: For example, unclean sexual practices or contracting gonococcal urethritis, followed by inadequate treatment, can lead to the development of bacterial prostatitis. Tonsillitis can also result in bacterial prostatitis.
2. Chlamydia and mycoplasma are also pathogens that can cause prostatitis.
3. Urethral obstruction: Bacterial growth in the posterior urethra, combined with a weakened immune system, can cause retrograde ejaculation, leading to prostatitis.
4. Congestion of the perineal prostate: This can cause the accumulation of local metabolic byproducts, blockage of prostatic ducts, and impaired secretion of prostatic fluid, resulting in the recurrence of chronic prostatitis.

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