Patient's question:
Confused! Looking for help, sincerely thank you! Male, 25 years old, unmarried. Symptoms for one and a half years, lipid-laden corpuscles ++, white blood cells ++, neutrophils 1-3, prostatic calculi, accompanied by mild swelling of the epididymis. Can you help me? First follow-up question: There is non-uniform internal echoes, which may include strong echo spots or low echo areas, often combined with prostatic calculi. What other tests do I need to do?Doctor's answer:
Prostatitis is a common disease among adult males.The prostate is an accessory gland of the male reproductive system, located behind the urethra and at the neck of the bladder. It is shaped like a chestnut, with a smooth surface and a groove in the middle, and is highly elastic. The main function of the prostate is to secrete prostatic fluid, which, together with fluids from the seminal vesicles, bulbourethral glands, and other sources, constitutes the liquid portion of semen. It plays a close role in the survival, activation, and fertilization of sperm. Additionally, the prostate rapidly metabolizes testosterone into androgens, making it closely related to male sexual development.
Prostatitis is divided into infectious and non-infectious types.
Infectious prostatitis is often caused by urethritis, seminal vesiculitis, or epididymitis. It can also be triggered by infections from other parts of the body spreading to the prostate through the bloodstream. The most common cause is the direct spread of bacteria from the urinary tract to the prostate. When the body's resistance declines, latent bacteria in the urethra can enter the prostate through the openings of the prostatic ducts located in the posterior urethra. When skin boils, tonsillitis, gingivitis, or respiratory infections are present, bacteria can also invade the prostate through blood and lymphatic pathways, leading to prostatitis. In addition to bacteria, viruses, trichomonads, fungi, mycoplasmas, and other pathogens can also cause prostatitis.
Prostatitis does not necessarily relate to sexually transmitted diseases (STDs), but in recent years, many STD patients have been diagnosed with gonococcal prostatitis, mycoplasma prostatitis, or chlamydial prostatitis. Therefore, prostatitis may also be a symptom of STDs. When prostatitis is suspected, a thorough analysis is necessary, and tests for Neisseria gonorrhoeae, mycoplasmas