Patient's question:
What are the causes of prostatitis?Doctor's answer:
1. Circulatory disorders of the gland: The prostate has a very rich blood supply, coming from three arteries: the superior, middle, and inferior prostatic arteries. However, the venous return is fewer, and it must pass through many small vessels before gradually merging into larger veins, which increases the resistance to blood flow within the prostate. If this is combined with factors that can cause long-term repeated congestion of the gland, it may further exacerbate venous return obstruction. Over time, the gland may also undergo delayed changes. Fibrous tissue replaces glandular cells, the gland hardens, further worsening the blood circulation disorder, causing blood stasis and increasing the opportunity for bacterial retention.2. Endocrine dysfunction: The prostate is the largest accessory gland in males and can only function normally under the regulation and control of the higher central nervous system to maintain the normal tissue structure of the gland. As age increases, the control ability of the central nervous system gradually weakens, and the level of male hormones declines, leading to an imbalance in endocrine function. At this point, the gland may undergo degenerative changes, such as a decline in secretory function and fibrosis proliferation, thereby providing favorable conditions for bacterial infection.
3. Psychological factors: Adverse psychological factors such as depression and mental tension also have a significant impact on prostate health.