Article

Can Prostatitis Cause Prostate Enlargement? Judge Prostatitis Comprehensively

Written by Amanda Chou

Topic: Men's IssuesPublished January 9, 2021
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Prostatitis is a common disease in young and middle-aged men. If acute prostatitis is often manifested as chills, fever, fatigue, frequent urination, urgency, pain, dysuria, there will be a lower abdomen and perineal pain. Chronic prostatitis patients may appear frequent urination, urgency, nocturia, endless urine, scrotal dampness and lumbosacral pain, abdominal distension, perineum, scrotum, testicle, and penis pain symptoms. Will the prostate become larger when having prostatitis? After prostatitis, the prostate often appears congestion and edema, so the prostate's volume and uneven echo under color ultrasound may occur. But this volume increase is not the same as the benign prostatic hyperplasia. Because the prostate hyperplasia is due to the decrease of androgen level after the male age, the prostate does not have enough androgen action, which leads to the hypertrophy of gland cells. It is different from the increase of hyperemia and edema caused by prostatitis. How to judge prostatitis? To determine whether there is prostatitis, patients can make a comprehensive judgment according to their symptoms, signs, and laboratory tests. If the patient often has frequent urination, urgency, incomplete urine, abdominal distension, anal distension, scrotal discomfort, then the patient may have prostatitis. Still, it should be distinguished from other diseases, such as hemorrhoids, varicocele, urinary tract infection. Therefore, the patients should go to the urology department of the regular hospital, check scrotum color Doppler ultrasound, prostate color Doppler ultrasound, and carry out a routine examination of prostatic fluid. If the prostatic fluid in white blood cells positive, lecithin body is small, then the patient may have chronic bacterial prostatitis, to use antibiotics for treatment. How to treat prostatitis? Prostatitis symptoms can be transformed from local to the whole body, bringing a series of symptoms. Therefore, early detection and early treatment are critical. How to treat prostatitis? 1. Drug therapy Antibiotics are the first choice for patients with bacterial prostatitis. But because the prostate is a special tissue and organ, there is a hard lipid capsule outside, which is a drug barrier. For chronic prostatitis, it is difficult for antibiotics to penetrate the infected site. Traditional Chinese medicine Diuretic and Anti-inflammatory Pill has completely broken the previous anti-inflammatory treatment of prostatitis. It can comprehensively improve the prostate's internal and external state, eliminate inflammation, effectively solve prostate drug penetration and drug absorption, with powerful drug directly to the affected area. It can not only eliminate symptoms but also stop the cause of the disease without recurrence. 2. Physiotherapy Prostate massage can empty the concentrated secretion in the prostate tube and drain the infection focus in the gland's obstructed area. Therefore, for the stubborn cases, we can do prostate massage every 3-7 days while using antibiotics. Various physical factors, such as microwave, radiofrequency, ultrashort wave, mediumwave, and hot water hip bath, are used to relax prostate, posterior urethral smooth muscle and pelvic floor muscle, strengthen antibacterial effect and relieve pain symptoms. But it should be noted that prostate massage is suitable for patients with chronic prostatitis. 3. Surgical treatment Prostatectomy can achieve the goal of a cure, but it should be used with caution. Because prostatitis usually involves the gland's peripheral zone, TURP is challenging to achieve the purpose of treatment. TURP can remove the prostate stones and bacterial infection near the prostate duct, which helps reduce the reinfection of peripheral zone lesions. Chronic bacterial prostatitis can lead to repeated urinary tract infection and infertility. Prostatitis is more difficult to cure and easy to relapse, so we must pay attention to living habits, effectively reducing the recurrence rate. It is recommended to drink less alcohol, not to eat spicy food (such as eating less chili, green onion, ginger, garlic, etc.), reduce excessive erection, and exercise more.

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