Does prostatitis refer to only one disease? Strictly speaking, prostatitis mainly refers to a type of disease. According to the "four cups method" clinically, prostatitis can be divided into four categories, and chronic bacterial prostatitis is one of them. What are the symptoms of bacterial prostatitis? Clinical manifestations 1. Acute bacterial prostatitis The disease occurs suddenly, with chills and high fever, accompanied by frequent urination, urgency, pain and perineal pain. Dysuria or acute urinary retention occurs. Rectal examination shows that the prostate is swollen and full, with obvious tenderness, local temperature rise, and abscess formation with a fluctuating feeling. Acute pyelonephritis may occur at the same time as bloodstream infection. 2. Chronic bacterial prostatitis Chronic bacterial prostatitis has recurrent lower urinary tract infection symptoms, such as frequent urination, urgency, pain, burning sensation during urination, dysuria, urinary retention, and swelling and discomfort in the posterior urethra, anus and perineum. The duration is more than 3 months. Causes 1. Acute bacterial prostatitis The main pathogenic factor of bacterial prostatitis is Escherichia coli, followed by Staphylococcus aureus, Klebsiella pneumoniae, Proteus, Pseudomonas, etc. Most of them are caused by a single pathogen. Bacteria or other pathogens infect the prostate and grow rapidly and proliferate, mostly through bloodstream infection or retrograde infection through the urethra. 2. Chronic bacterial prostatitis The main pathogenic factor is retrograde infection of pathogens, mainly Staphylococcus, followed by Escherichia coli, Corynebacterium and Enterococcus, etc. Prostatic stones and urine reflux may be important reasons for the persistence of pathogens and recurrence of infection. 3. Factors that induce prostatitis The main causes of prostatitis include: smoking, drinking, spicy food addiction, inappropriate sexual activities, long-term congestion of the prostate caused by sitting for a long time and long-term chronic compression of the pelvic floor muscles, cold, fatigue, etc., which lead to decreased body resistance or special physical constitution. |
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