Patient's question:
Prostatitis has been causing frequent urination and difficulty urinating for about a year. I'm almost fed up—having to use the restroom every one and a half hours severely affects my work and life.Doctor's answer:
1. There may be a functional urinary dysfunction, which may be related to diseases such as chronic non-bacterial prostatitis or overactive bladder.2. Frequent urination is closely related to psychological factors. The more you think about urination, the more you want to urinate, and you feel uncomfortable without urinating. The more you do this, the more frequent urination becomes, and over time, the bladder's storage function and urination reflex become disordered. I hope you can break this vicious cycle and pay attention to adjusting your mindset.
3. Routine prostatic fluid tests are no longer used as a diagnostic or efficacy assessment standard, but are primarily based on clinical manifestations, symptoms, and improvements in quality of life. The principle of treating prostatitis is mainly to alleviate symptoms and improve quality of life. Focusing too much on prostatic fluid test results is highly incorrect and misleading.
4. Prostatitis does not have a concept of being "serious" or "not serious," as it is merely a disease that affects quality of life and does not cause substantial harm to your health.
5. Over 96% of chronic prostatitis cases are non-bacterial and are related to prostatic congestion and pelvic floor muscle spasm. Antibiotics are generally not recommended for treatment. It is advised to consult a traditional Chinese medicine urology department in a large public general hospital for treatment with traditional Chinese medicine regulation.
6. It is also recommended to adjust your mindset, change your lifestyle, avoid prolonged sitting, drink more water, and avoid alcohol, among other measures.