Is chronic abacterial prostatitis serious?

summary

Chronic abacterial prostatitis is mainly characterized by pelvic pain, which can be seen in perineum, penis, perianal, urethra, pubis or lumbosacral. Abnormal urination can be manifested as urgency, frequency, pain and nocturia. Its pathogenesis is not clear, the etiology is very complex, there are widespread disputes. Chronic abacterial prostatitis lacks objective and specific diagnostic basis. In clinical diagnosis, it should be differentiated from diseases that may cause pelvic pain and abnormal urination. Patients with abnormal urination should be clear whether there is bladder outlet obstruction and abnormal bladder function. Is chronic abacterial prostatitis serious?

Is chronic abacterial prostatitis serious?

Although the pathogen can not be isolated by routine bacterial examination, it may still be related to some special pathogens, such as anaerobes, L-form Proteus bacteria, nanobacteria, or Chlamydia trachomatis, mycoplasma and so on. Some factors cause excessive contraction of urethral sphincter, resulting in bladder outlet obstruction and the formation of residual urine, resulting in urine flowing back into the prostate, which can not only bring pathogens into the prostate, but also directly stimulate the prostate and induce aseptic "chemical prostatitis".

The main manifestation is pelvic pain, which can be seen in perineum, penis, perianal, urethra, pubic or lumbosacral parts. Abnormal urination can be manifested as urgency, frequency, pain and nocturia. Because chronic pain can not be cured for a long time, the quality of life of patients decreases, and may have sexual dysfunction, anxiety, depression, insomnia, memory loss, etc.

In the normal prostatic massage fluid, white blood cells (HP) and lecithin bodies were evenly distributed in the whole field of vision, pH 6.3-6.5, and red blood cells and epithelial cells were absent or occasionally seen. When WBC > 10 / HP, the number of lecithin bodies decreased, which is of diagnostic significance. Urine routine analysis and urine sediment examination urine routine analysis and urine sediment examination are the auxiliary methods to exclude urinary tract infection and diagnose prostatitis.

matters needing attention

Chronic abacterial prostatitis lacks objective and specific diagnostic basis. The clinical diagnosis should be related to the diseases that may lead to pelvic pain and abnormal urination, such as benign prostatic hyperplasia, testicular epididymis and spermatic cord diseases, overactive bladder, interstitial cystitis, bladder tumor, prostate cancer, anorectal diseases, lumbar diseases Central and peripheral neuropathy should be differentiated.