Patient's question:
How is chronic prostatitis formed, and what is the cost of treating non-bacterial prostatitis?Doctor's answer:
Prostatitis is divided into two types: acute and chronic. Acute prostatitis is an acute inflammation caused by bacterial invasion of the prostate. Patients experience chills, fever, elevated body temperature, and pain in the groin area. During sexual activity, there may be pain during ejaculation. Symptoms during urination include frequent urination, urgency, dysuria, or hematuria. If acute prostatitis is not treated promptly, it may become chronic or develop into a prostate abscess. The treatment for acute prostatitis is not complex; appropriately using antimicrobial drugs can control the condition. The key is to persist in treatment to ensure a complete recovery and avoid leaving any lingering issues.Chronic prostatitis is further divided into bacterial and non-bacterial types. Chronic bacterial prostatitis has the same cause as acute prostatitis, mostly because it was not fully treated during the acute phase and became chronic. Chronic non-bacterial prostatitis is primarily caused by improper sexual practices. The contributing factors or causes include:
1. Celibacy or prolonged abstinence, leading to a significant accumulation of prostatic secretions. Over time, this can result in excessive edema and congestion of the prostate.
2. Frequently interrupting sexual intercourse and forcibly suppressing ejaculation, causing the secretion to accumulate and leading to congestion.
3. Excessive frequency of sexual activity, excessive masturbation, or prolonged indulgence in sexual excitement, making it difficult for the prostate to return to its normal state.
4. Excessive alcohol consumption and eating spicy or acidic foods, which can cause congestion in the pelvic and prostate areas.
5. Exposure to dampness, cold, prolonged sitting, or colds can all lead to prostate congestion.
The symptoms of chronic prostatitis include the following:
1. Persistent chronic inflammation, such as tenderness and a sense of fullness or pressure in the perineum, anus, scrotum, and other areas.
2. Frequent urination, urgency, dysuria, difficulty urinating, or weak urine flow (thin stream, short range, prolonged duration) in severe cases.
3. A milky, cloudy discharge from the urethral opening during the end of urination or in the morning.
4. Impaired sexual function, such as erectile dysfunction, premature ejaculation, nocturnal emissions, painful ejaculation, or anejaculation.
5. Frequent symptoms of neurasthenia, such as blurred vision, dizziness, and insomnia.
Non-bacterial prostatitis does not require antibiotic treatment and can be managed through massage, hot Sitz baths, physical therapy, or traditional Chinese medicine. However, the treatment duration is long, and the results may not be ideal. Therefore, it is advisable to seek early examination and diagnosis at a urological specialty hospital for targeted treatment.