Patient's question:
Hello. I have been suffering from prostatitis for several years. I am still very young. No matter how I treat it, it doesn't get better. I have taken a lot of Chinese and Western medicine. There is urine splitting, radiating pain in the thighs and testicles, sore knees, general weakness, fatigue, and lack of confidence. I went to the hospital for check-ups. A few days ago, the white blood cell count was 4+. There was a small amount of sperm. Now I have taken some medicine, but I don't know if it has improved. No further tests have been conducted.Doctor's answer:
HelloType 1: Equivalent to acute bacterial prostatitis in traditional classification methods. It is characterized by acute onset, presenting as a sudden febrile illness with persistent and significant lower urinary tract infection symptoms, elevated white blood cell count in urine, and positive bacterial culture in blood or (and) urine.
Type 2: Equivalent to chronic bacterial prostatitis in traditional classification methods, accounting for 5%–8% of chronic prostatitis. It involves recurrent lower urinary tract infection symptoms lasting more than 3 months, elevated white blood cell count in EPS/sperm/VB3, and positive bacterial culture results.
Type 3: Chronic prostatitis/chronic pelvic pain syndrome, equivalent to chronic non-bacterial prostatitis and prostatodynia in traditional classification methods. It is the most common type of prostatitis, accounting for more than 90% of chronic prostatitis. It primarily manifests as long-term, recurrent pelvic pain or discomfort lasting more than 3 months, accompanied by varying degrees of urinary symptoms and sexual dysfunction, severely impacting patients' quality of life; bacterial culture results in EPS/sperm/VB3 are negative.
Type 4: Asymptomatic prostatitis, where no subjective symptoms are present, but inflammatory evidence is detected only during relevant prostate-related examinations (e.g., EPS, sperm, prostate tissue biopsy, and pathological examination of prostatectomy specimens).