As the saying goes, targeted medicine must be prescribed. Before treating, you need to find out what type it is and what caused it.

Main classification of prostatitis:

Type One: acute bacterial prostatitis

Type Two: chronic bacterial prostatitis

Type Three: chronic nonbacterial prostatitis or chronic pelvic pain syndrome

Type Four: asymptomatic prostatitis

Acute bacterial prostatitis and asymptomatic prostatitis are not complex. Because the acute one is commonly caused by pathogen, and usually chemical medicine can be used to solve the problem. The asymptomatic prostatitis features no clinical symptoms, which usually doesn't need to be treated or can be treated with simple conditioning.

But type two and three are more complicated and harder to treat. Chronic bacterial prostatitis is related to bacterial infection, which accounts for 5% to 8% of all chronic cases. While chronic non-bacterial prostatitis accounts for more than 90%, which is difficult to cure in patients. According to the presence of inflammation, type three can be further divided into type A and type B.

Chronic bacterial prostatitis is usually caused by stronger pathogen, poor body immunity and some local factors in the body. The main infection is the retrograde infection through the urethral orifice, and the main bacteria are staphylococcus, escherichia coli and corynebacterium.

It should be easy to treat the disease after knowing the specific cause, but it is not like that. The main reasons why it is hard to treat are as follows.

1.Chronic infections are often limited and have certain adaptability to body immunity, so it is difficult for antibiotics to completely eliminate them.

2.Patients with chronic prostatitis have drug resistance after several non-strict treatment, which is a very common situation. People who feel uncomfortable may just go to the drugstore and buy a box of antibiotics, then take them at will. Irregular treatment leads to a difficult follow-up of the suitable treatment.

3.Bacteria form biofilms that are resistant to antibiotics and body immunity.

4.Some patients have urine reflux, prostatic calculus, or other chronic infections around the prostate gland, which can also perpetuate the infection.

For chronic non-bacterial prostatitis, the specific etiology is unknown at present, which may be a pathogenic factor or a combination of various factors. The possible etiologies include:

1.Pathogen infection: Although conventional examinations do not figure out the connection between chronic non-bacterial prostatitis and bacteria, but some of the more advanced inspection can find some bacterial DNA. So it may be related to pathogen infection.

2.Dysuria: Some studies have shown that abnormalities in urine flow mechanics may lead to urine regurgitation to the prostate gland, bringing some harmful substances into the prostate gland, or directly stimulate the prostate gland, leading to abnormal sensation, pain, frequent urination, urgent urination and other symptoms. But this claim has not been strongly substantiated.

3.Mental factors: More than half of those with prolonged prostatitis have mental disorders such as anxiety, depression, hypochondria, and even suicidal thoughts. These mental changes will lead to neuromuscular dysfunction and a series of clinical manifestations. But it is not clear whether this psychological change is the direct cause of prostatitis or a secondary manifestation.

4.Neuroendocrine factors: Some autonomic nerve and endocrine function abnormalities may lead to the pelvic neuromuscular function abnormalities, which will give rise to symptoms of prostatitis.

5.Autoimmune disorders: Many diseases in the human body are caused by autoimmune abnormalities, and prostatitis cannot be completely ruled out. To autoimmune disorders, antibodies can attack the body, producing a range of symptoms from discomfort to death, including prostatitis.

Patients with chronic prostatitis are more recommended to use Chinese medicine treatment, since antibiotic resistance and side effects are inevitable in the long-term treatment. Usually, the herbal medicine Diuretic and Anti-inflammatory Pill is a safe and reasonable option, which adheres to the characteristics of traditional Chinese medicine, and can eliminate symptoms and root causes. Its effects are reacting on the whole genitourinary system.

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