Mr. Chan, at the age of 65, is still keen on his job and refuses to retire, but the lack of exercise makes him fat. About a year ago, he discovered that he had the problem of frequent urination and wake up at night to urinate, but because his everyday life was not greatly affected by these problems, he ignored them. Until recently, he feels pain in the scrotum and the front of penis from time to time, fearing that he’s got cancer, he hurries to see the doctors. After examination, he was diagnosed with chronic prostatitis which resulted from his weak health and low immunity.
Prostatitis is one of the common urologic diseases found in adult men. According to the statistics, 2 to 3 men in 10 will have prostatitis. Although men of any age may be affected, middle-aged of 40 years old or above are at high risk.
Let’s take bacterial prostatitis for example, The infection can start when the person has low immunity which allows bacteria in urine to leak into the prostate, causing symptoms of frequent urination. Nonbacterial prostatitis, also known as chronic pelvic pain syndrome (CPPS), has complicated causes and is now believed to be caused by nervous system disorder. The main symptom is the continuous lower body pain which is very disturbing.
Clinically, most patients have chronic prostatitis with no obvious symptoms at the beginning which makes it hard for them to detect at the early stage. Therefore, once men have symptoms such as frequent urination, pain in urination, pain in the anus, transparent secretion of urethral exudation, pain or blood during ejaculation, they should seek medical treatment as soon as possible.
In the case of prostatitis, the diagnosis is a bit complicated. To confirm it is bacterial infection, the prostate fluid must be checked first. Because the amount of prostate fluid is very small, it can only be excreted after prostate massage and the difference of bacteria can be big. Therefore, it is more practical to take a urine sample after prostate massage, or to directly take the sperm seed bacteria. Once diagnosed, patients in general require antibiotics treatment for 4 to 8 weeks. Most patients can improve inflammation and reduce symptoms after receiving the treatment. As for the pain symptoms, painkillers and nerve-controlling drugs are mainly prescribed.