1. Acute bacterial prostatitis
Acute bacterial prostatitis is mostly caused by non-specific Caused by heterosexual bacterial infection. Pathogenic bacteria include Escherichia coli, Staphylococcus aureus, Streptococcus aureus, Enterococcus aureus, and Diphtheria-like bacilli.
There are three ways of bacterial infection: ① Blood-borne. Bacteria in infection foci in other parts of the body, such as boils, carbuncles, teeth and tonsils, infect the prostate through blood circulation; ② Lymphogenic. Infectious bacteria in the rectum or lower urinary tract invade the prostate through lymph; ③ direct spread. An infection in the posterior urinary tract or an infection in the upper urinary tract causes bacteria to spread directly to the prostate. Fatigue, cold, excessive drinking, indulgent sexual intercourse, perineal injury and intrahemorrhoidal injection of drugs can all be the triggering factors of acute bacterial prostatitis.
During an acute attack of prostatitis, systemic infection symptoms such as chills, fever, fatigue, and loss of appetite may occur; local symptoms of systemic infection such as frequent urination, fever, fatigue, and loss of appetite may occur due to local inflammation; Inflammatory stimulation can cause frequent urination, urgency, dysuria, terminal hematuria, discomfort in the anus and perineum, and a feeling of bloating, which can be aggravated during defecation; gland congestion and edema can compress the posterior urethra and cause obstruction, leading to difficulty in urination, and even urination. Urinary retention; loss of sexual desire and pain during sexual intercourse. If left untreated or poorly treated, systemic and local symptoms will further aggravate. If severe pain in the perineum and anus occurs, abscess formation should be considered.
There may be purulent secretions in the urethra; digital anal examination: prostate swelling, obvious tenderness, local heating, and all or part of the glands are tough and irregular. Prostate massage is prohibited during the acute phase to avoid spreading infection or bacteremia.
2. Chronic bacterial prostatitis
Chronic bacteria Prostatitis is a common disease of the male reproductive system, which usually occurs between the ages of 20 and 40. The incidence rate in men over 35 years old is 35% to 40%, and it rarely occurs before puberty.
There are four common routes of bacterial infection in chronic bacterial prostatitis: retrograde infection through the urethra, direct pelvic infection or lymphatic spread, or hematogenous infection of the prostate by bacteria from other parts of the body. But it is most commonly caused by bacterial retrograde infection through the urethra. acute prostatitis treatmentIncomplete treatment can also become chronic. Most of the infecting bacteria are cocci, followed by Staphylococcus aureus, Staphylococcus albus, Streptococcus, Escherichia coli, Diphtheria-like bacilli and Pseudomonas aeruginosa. Gonococcal urethritis can also develop into gonococcal prostatitis.
The clinical manifestations of chronic bacterial prostatitis vary greatly, ranging in severity. Local symptoms often include urinary discomfort, frequent urination, urgency, burning sensation in the posterior urethra during urination, and a feeling of incomplete urination; a small amount of thin milky white secretion flows from the urethral opening in the morning or during defecation; the abdomen, perineum, anus, and inner thighs or Dull pain and discomfort, dull pain or swelling in the lumbosacral region; sometimes accompanied by dull pain in the testicles and glans; the whole body may manifest as backache, fatigue, and fatigue easily; there may be symptoms of neurasthenia, such as insomnia, forgetfulness, mental depression and other neurosis The symptoms are often accompanied by sexual dysfunction such as erectile dysfunction, premature ejaculation, nocturnal emissions and painful ejaculation.
3. Non-bacterial prostatitis
Non-bacterial The cause of prostatitis is still uncertain, and whether Chlamydia trachomatis is the causative factor is controversial. However, 40% of non-gonococcal urethritis in men and most acute epididymitis under the age of 35 are caused by Chlamydia trachomatis infection. The number of mycoplasma in the urethra of patients with non-bacterial non-chlamydial urethritis is much greater than that in the urethra of patients with chlamydial urethritis, and the treatment effect is good with antibiotics targeting mycoplasma (which are ineffective against chlamydia). Therefore, Chlamydia trachomatis and Mycoplasma may be causes of nonbacterial prostatitis. The relationship between chlamydia and mycoplasma infection and infertility is currently unclear and needs further study. Viruses, fungi, and anaerobic bacteria may also be causes of nonbacterial prostatitis.
The symptoms of non-bacterial prostatitis are basically similar to those of bacterial prostatitis. Dull pain or varying degrees of pressure in the lower back and suprapubic area may occur; swelling, pain or discomfort in the external genitalia, perineum or anus; frequent urination, urgency, painful urination, and nocturia; terminal defecation or urination may occur. There may be white secretions dripping from the urethra orifice at the end; fatigue, fatigue, and various neurasthenic symptoms may appear throughout the body; it may be accompanied by sexual dysfunctions such as erectile dysfunction and premature ejaculation; the prostate may be swollen and slightly tender during anal examination; test prostate massage There were more white blood cells and fat-containing macrophages in the fluid than normal, but the bacterial culture of the prostatic fluid was negative. DNA polymerase chain reaction of prostatic fluid for chlamydia and mycoplasma may be positive.
This article is provided by Baidu Reading and is excerpted from \”The Clear \”Conception\” Plan\” Author: Sun Jianqiu and Xie Yingbiao