What disease causes prostatitis?

Prostatitis may be caused by bacterial infection, urine reflux, immune abnormalities, neuroendocrine disorders, pelvic floor muscle dysfunction and other factors. Prostatitis mainly manifests as symptoms such as frequent urination, urgency, dysuria, and perineal pain, which can be relieved through drug treatment, physical therapy, lifestyle adjustment, etc.

1. Bacterial infection

Bacterial infection is a common cause of prostatitis, mainly caused by pathogens such as Escherichia coli and Staphylococcus aureus through retrograde infection of the urethra. Patients may have systemic symptoms such as fever and chills, and urine tests may show an increase in white blood cells. Treatment requires the use of antibiotics such as levofloxacin tablets, cefixime dispersible tablets, and azithromycin capsules as directed by the doctor, and combined with warm water sitz bath to relieve local inflammation.

2. Urine reflux

Backflow of urine into the prostate ducts during urination may cause chemical inflammation, which is common in those who hold back urine for a long time and have urinary dysfunction. Symptoms are mainly perineal swelling and pain, which worsens after urination. It is recommended to avoid sitting for long periods of time and hold in your urine. You can use tamsulosin sustained-release capsules to improve urination and ibuprofen sustained-release capsules to relieve pain as directed by your doctor.

3. Immune abnormalities

Abnormal autoimmune responses may trigger nonbacterial prostatitis and are associated with genetic susceptibility. The patient's prostatic fluid examination showed no pathogens but elevated inflammatory markers. For treatment, celecoxib capsules can be used to control inflammation, and combined with total glycosides of paeony capsules to regulate immunity, immune function indicators need to be reviewed regularly.

4. Neuroendocrine disorders

Long-term mental stress or abnormal hormone levels may lead to disordered contraction of prostate gland ducts, causing pelvic pain syndrome. Symptoms include lower abdominal distension and sexual dysfunction. You can follow the doctor's advice to use Puxitai tablets to regulate autonomic nerve function, and use Oryzanol tablets to improve nerve regulation. At the same time, psychological counseling is required.

5. Pelvic floor muscle dysfunction

Spasm or excessive tension of the pelvic floor muscles may compress the prostate and cause chronic pain, which is common in people in occupations such as sitting for long periods of time and cycling. The pain is worsened when sitting, which can be improved through biofeedback treatment and pelvic floor muscle training. If necessary, use tizanidine hydrochloride tablets as directed by your doctor to relieve muscle spasms.

Patients with prostatitis should avoid spicy foods and drink more than 2,000 ml of water daily to promote urination. Perform aerobic exercise such as brisk walking and swimming regularly, and avoid cycling or sitting for long periods of time. Pay attention to the cleanliness of the perineum and moderate sexual life. If symptoms continue to worsen or hematuria, fever, etc. occur, you need to seek medical treatment promptly to avoid taking antibiotics by yourself, which may lead to drug resistance. Patients with chronic prostatitis can perform prostate massage regularly to promote drainage, but this must be done by a professional physician.