How to treat nonspecific granulomatous prostatitis?
summary
This disease is rare, generally considered to be a foreign body reaction or allergic reaction in the reticuloendothelial system dissolved in the body after the proliferation of adverse substances. The foreign body reaction included epithelial ulcer necrosis and prostatic duct obstruction. Semen stasis products of bacteria in prostate, semen component is an autoimmune reaction, such as countercurrent to the prostate stroma, and become a foreign body, then the occurrence of foreign body reaction, causing tissue damage, destruction of prostate tissue necrosis, and finally the formation of prominent interstitial granuloma. Due to different clinical and pathogenic factors, it can also be divided into two groups. Allergic granulomatous prostatitis and non allergic granulomatous prostatitis.
How to treat nonspecific granulomatous prostatitis?
1. Chang Jifa systemic allergic reactions, bronchial asthma, or recurrent allergic rhinitis, sinusitis, etc. Because prostate tissue has the same allergic reaction, it is the immune reaction in lung and bronchus, which aggravates the tissue reaction. Sperm can also produce autoantibodies, causing diseases. The main clinical symptoms are due to a large number of infiltration, edema and sclerosis of cells around the prostate, fullness, prostate tenderness, frequent urination, urination pain, ejaculation pain, normal prostatic fluid or a small amount of leukocytes, blood eosinophils increase. The diagnosis of urinary sediment and prostatic fluid showed eosinophilia. They are treated with corticosteroids or antihistamines, but the prognosis is often better.
2. It often occurs in the elderly, mainly due to the foreign body reaction in the prostate tissue and the stroma of semen stasis. The main clinical symptoms are similar to bladder neck obstruction, frequent urination, dysuria, burning urethra, increased prostatic discharge, waist and perineal pain, testicular, pubic and inguinal pain. * the disease is characterized by rapid development of symptoms and rapid development of urinary retention. Prostate hard colorectal examination increased, fixed. It is often mistaken for prostate cancer.
3. Transurethral resection of the prostate is the most important operation. Antihistamine drugs can also be used to eliminate edema, or with prednisolone. The symptoms of obstruction were not obvious, and there was enough time to watch self-healing. Antibiotics can be used for 2-4 weeks, and surgery is only considered if they are ineffective. However, there are many cases, no matter what kind of treatment, after a certain period of time can alleviate their own remission. The general symptoms disappeared for 2-4 weeks, and the tenderness and mass disappeared for 4-18 months.
matters needing attention
The diagnosis depends on prostate biopsy. Prostatic fluid was slightly higher than normal prostatic fluid. Cystoscopy may have a rapid development of bladder neck obstruction. At ordinary times, we should pay attention to this aspect by ourselves.
