What Are the Symptoms of Chronic Prostatitis?

Chronic prostatitis is a common urogenital reproductive disease, mainly including chronic bacterial prostatitis and non-bacterial prostatitis. The incidence is extremely high and very confusing. Nearly 50% of men experience the effects of prostatitis. Need to prescribe the right medicine to reduce the pain. According to the patient's pathology and etiology, the choice of treatment is the most effective and feasible method. Because the clinical symptoms are complex and diverse, and have certain effects on male sexual and reproductive functions, they seriously impede the quality of life of patients, and cause their mental and physical torture.

Chronic prostatitis symptoms

1. Men's sexual dysfunction: Prostatitis can cause the male's sexually active nerves and nerve centers to appear excited, but if they are excited for a long time, it will easily lead to the suppression of male sexual excitement, thereby inducing male sexual dysfunction.

2. Induced female gynecological diseases: Induced by some bacterial infections and induced male prostatitis, it is easy to cause sexual life, these bacteria enter the female reproductive organs, thereby causing women to become infected and induce gynecological inflammation.

3, endocrine disorders: the prostate of normal men can secrete a variety of active substances, but suffering from prostatitis will easily cause secretions to be affected, leading to male endocrine disorders, resulting in male symptoms such as dizziness and fatigue.

4. Life and work are affected: Because men suffer from prostatitis, which leads to frequent urination, urgency, and endless urination, etc., patients often lose control of their emotions and become restless, which affects the normal life and work of men.

5. Infection of other adjacent organs: Because prostatitis is left untreated for a long time, it is easy to cause male inflammation to spread, thereby infecting adjacent organs and inducing inflammation.

Infertility

How Prostatitis Causes Male Infertility

1. Decrease sperm vitality Prostate fluid is a necessary condition for sperm survival, because the enzymes, lecithin and trace elements contained in it can provide energy and nutrition for sperm. When these diseases occur, the secretion of these nutrients decreases and the sperm vitality decreases.

2, non-ejaculation or reverse ejaculation prostatitis may lead to non-ejaculation or reverse ejaculation, resulting in sperm can not enter the vagina will naturally be infertile.

3, the increase of acidic substances in patients with increased acidic substances, resulting in increased semen acidity, unsuitable for sperm survival, resulting in reduced sperm motility.

4. The semen liquefaction process will be affected in patients with non-liquefied semen, which will reduce the sperm motility and lead to infertility.

5. Bacterial toxin effect The pathogenic microorganisms and bacterial toxins contained in the prostatic fluid of patients with prostatitis can directly kill sperm after entering the semen, causing dead sperm, malformed sperm, and decreased viability, generating anti-sperm antibodies, and reducing acrosome enzyme activity. And eventually lead to male infertility.

The symptoms of chronic prostatitis are complex and diverse, and are sometimes easily confused with simple neurasthenia. They are not very satisfied with the treatment effect and the treatment standards are not uniform. From the clinical manifestations, patients may have urethral irritation, frequent urination, urgency, urinary tract burning pain, mucus, viscous filaments, or purulent secretions at the urethral opening in the morning, turbid urine or white liquid flowing out of the urethral opening after stool, and posterior urethral, perineal and Anal discomfort, sometimes pain in the penis, testes, and groin, accompanied by ejaculation pain, blood ejaculation, premature ejaculation, impotence, and fatigue, dizziness, insomnia, and depression

1. Prostate pain: These patients have persistent urinary frequency, dysuria, difficulty urinating, pain and discomfort in the perineum, lower abdomen, lumbosacral region, etc., and become worse after sitting and cycling. Digital rectal examination showed tenderness on both sides of the levator ani muscle, and prostate palpation was normal without tenderness. In the past, this disease was called piriformis ani levator syndrome, and the microscopic examination of the prostate fluid was normal, and there was no growth in bacterial culture.

2. Prostate abscess: most of the complications of acute bacterial prostatitis, mostly occur in the age of 50 to 60 years, half of patients have acute urinary retention, frequent urination, dysuria, rectal discomfort, urethral purulence, and some with epididymitis. Digital rectal diagnosis of prostatic disease enlarges the side, is soft to the touch, and has a feeling of fluctuation. Occasionally, a prostate abscess can rupture naturally into the urethra or rectum, and is mistaken for a rectal abscess.

3 Prostatic calculus: refers to stones that occur in the prostate acinar and ducts. It is related to chronic inflammation of the prostate, retention of prostate fluid, narrowing of the glandular duct, and metabolic disorders. Inorganic salts such as calcium oxalate, calcium phosphate, magnesium phosphate and other amyloid deposits in the acinus of the prostate, stones form on epithelial cells and inflammatory exudates. Patients can show various symptoms of chronic prostatitis, but the rectal index The diagnostic examination can be related to the rubbing feeling of the prostate stones, the pelvic x-ray has a positive stone shadow on the side of the pubic symphysis area, and the ultrasound examination can show a strong light band and a sound shadow in the prostate stones.

4 Prostate tuberculosis: symptoms are similar to chronic prostatitis, but there is often a history of urinary tuberculosis or other areas of tuberculosis. Digital rectal examination of the prostate shows irregular nodules, epididymal enlargement and hardening, vas deferens with beaded nodules, and prostate fluid. Mycobacterium tuberculosis is smeared or detected by PCR.

5. Prostate cancer: symptoms such as frequent urination, dysuria, and dysuria may occur in advanced stages. Patients often have obvious systemic symptoms such as weight loss, fatigue, anemia, and loss of appetite. Digital rectal examination of the prostate has a hard, stone-like mass with uneven surfaces and serum prostate specificity. Increased antigen and prostate acid phosphatase. Prostate biopsy can find cancer cells. Ultrasound examination shows enlarged glands, irregular border echoes or defects, uneven internal light spots, and brighter light spots or light masses at the cancer site. CT examination showed asymmetry of the prostate. If the tumor infiltrates the envelope, the tissue space between the seminal vesicles and the posterior wall of the bladder disappeared. CT can determine the degree of invasion of prostate cancer.

6. Pubic osteitis: clinical symptoms often show symptoms of chronic prostatitis, but anal diagnosis and prostatic fluid examination are normal. The main feature is obvious tenderness at the pubic symphysis. Pelvic radiographs show that the pubic symphysis widens> 10 mm, the level of the bilateral superior pubic branch differs by> 2 mm, the pubic symphysis is irregular, and erosion and reactive sclerosis occur.