STD prostatitis difficult to treat!
Prostatitis is a male common and frequently-occurring disease, age of onset, mainly in 36 to 50 years old, non-racial superiority, along with the resurgence of sexually transmitted diseases, and spread rapidly, after the irregular treatment of patients with sexually transmitted diseases, the increasing number of patients with sexually transmitted diseases, prostatitis, after growing more, in the eight kinds of sexually transmitted diseases in associated with prostatitis mainly gonorrhea and non-gonococcal urethritis. Two kinds of sexually transmitted diseases in our country the largest number of acute gonococcal urethritis without the timely and proper treatment, 6% can cause gonococcal prostatitis, 4% of gonococcal infection reported in other countries were accompanied by chlamydial infection, some scholars have pointed out that the , prostate pain is the cause of prostatitis following sexually transmitted diseases, prostate pain and that pelvic floor tension myalgia, prostate itself is no disease. Namely, the prostate digital examination and physical and chemical examination showed no abnormality, manifested as perineal and suprapubic pain and tenderness on the area, with voiding disorders. In particular, insomnia, dreaminess, dizziness, palpitations and so on neurasthenia-like, and the psychological tension, but also so that patients suffering the pain of STD patients with prostatitis On this basis, there is a negative with a heavy psychological burden, such as the fear unhealed venereal disease recurrence or further deterioration of the fear that infect their sexual partners and so on. Misuse of broad-spectrum antibiotics in some patients due to poor efficacy, increased patient anxiety may increase the disease can cause mildew and conditions of pathogen attack, and even a variety of pathogens, mixed infections in some patients of their sexual partners is very likely to have been infected, if not promptly effective diagnosis and treatment, the patient can be re-infection and can be persistent chronic prostatitis, prostatitis following sexually transmitted diseases, sexually transmitted diseases, men, one of the most common complication of prostate position and its structure is very special, general drug dosage and treatment difficult to kill the hidden in the prostate of pathogens, many patients using the drug after a period of time, urethral discharge and urinary urgency, frequent urination symptoms decrease or disappear, they consider themselves sexually transmitted diseases have been cured, but on their own to stop the treatment as a result, over a period of time and the emergence or intermittent symptoms of prostatitis occur. Patients suffering from sexually transmitted diseases, the emergence of resistant strains of Neisseria gonorrhoeae and the epidemic is spreading long treatment causes gonorrhea, a direct violation of the prostate, prostate and urethra decreased local resistance, E. coli, Staphylococcus aureus and other non-specific bacteria can also take advantage of caused by bacterial prostatitis and prostate in urinary reflux and systemic immune function, viruses, fungi, anaerobic bacteria, trichomonas, mycoplasma, chlamydia, etc., have led to chronic non-bacterial prostatitis, in addition, sexually transmitted diseases have caused autonomic dysfunction, local inflammation and stimulate the increase in local muscle tension to increase, and pain induced by prostate. Infection prostatitis, can cause partial α-receptor excitement, muscle contraction, resulting in pain and functional obstruction, which led to urethral pressure, resulting in urinary reflux within the prostate, has infected the prostate fluid and difficult to discharge, and even cause detrusor instability. The local stimulation can also cause pelvic floor voluntary muscle contraction habit spasm, pain and inflammation by psychological factors can also psychological factors to increase, the presence of functional obstruction to make it more difficult to control, therefore, nonbacterial prostatitis can be combined prostate pain, and can reinforce each other, infection control, the prostate pain would still exist.
After the diagnosis of sexually transmitted diseases, prostatitis focus on the collection of history, especially the history of exposure to sexually transmitted diseases, and its timing, treatment, drug situation, whether it be cured, and urinary tract infections, including asking the spouse of the history of detailed examination of external genitalia, focusing on checking the prostate: ( 1) The laboratory examination of prostate fluid examination is mainly used merares-stamey 4 cup test, line bacteriological examination, such as the negative then the diagnosis of bacterial prostatitis, such as the negative nature of the further line of chlamydia, mycoplasma inspection. (2), prostate digital examination in patients with chronic prostate palpable prostate the size of no change, or slightly larger or smaller while the hard and soft, uneven texture, the surface can be touched, or the limitations of the limitations of induration flexible region, may have tenderness, the central sulcus there is pain in patients with prostate, prostate normal, but push both sides of the levator ani muscle and external iliac rotation brevis tenderness, venereal diseases, prostatitis-like symptoms after the first patients with sexually transmitted diseases, sexually transmitted diseases based on symptoms ease or disappear after a period of time the performance of chronic prostatitis diagnosis, clinical manifestations of chronic prostatitis large individual differences, course there is self-limiting, mainly for the following symptoms: (1), the urinary tract infection syndrome: the performance of repeated varying degrees of urinary frequency, dysuria, urgency urinary irritation, etc. . (2) pelvic pain syndrome: different levels of the lower back, perineum, suprapubic area groin area, penis, scrotum, testicular pain, ejaculation pain. (3) the bladder detrusor – urethral muscle dysfunction expansion about: Performance for the hesitant urination, dribbling urine and other symptoms of varying degrees of urinary tract obstruction. (4) Sexual dysfunction syndrome: premature ejaculation, low sexual desire, nocturnal emission, impotence. (5) The syndrome of psychiatric symptoms: dizziness, insomnia, irritability, memory loss, fatigue, neurosis and so on and so many dreams. (6) autoimmune syndrome: arthritis, skin rashes, iridocyclitis. (7), prostate fluid examination: white blood cells per high power field more than 10 or, despite being less than 10 but there are piles of pus ball, lecithin reduced, and some can be seen in patients with trichomoniasis, hyphae mold spores. (8) and zinc content of prostatic fluid pH measurement: general normal, prostatic fluid pH 6 ~ 7, was weak acid containing zinc compounds, which have a strong anti-bacterial action. PH in patients with chronic prostatitis was significantly higher zinc content lower than normal. (9) immunoassay: Chronic prostatitis in patients with serum IgG, IgA, IgM were elevated in prostatic fluid, IgA, IgE increased, when the inflammation progress, prostate fluid in the high molecular weight protein (HMW) significantly decreased low molecular weight protein (LMN) increased. (10) Other examination: examination of urine flow in patients with pain was found in prostate maximum flow rate and average flow rate of decline in maximum urethral closure pressure is relatively significant increase in posterior urethral urethral microscopy examination showed congestion, increased precision Fu, seminal vesicle to the urethra was ridge-like bulge, etc..
After the treatment of sexually transmitted diseases, prostatitis principles: (1) According to the bacterial culture and drug sensitivity test, select the need for sufficient quantities of antibiotics, a course of treatment does not cure or recurrence in patients of small-dose, long-term prevention of the amount of antimicrobial therapy. Satisfactory curative effect, chronic bacterial prostatitis cure standard for at least 12 months, urine and prostate culture without bacterial growth. (2) psychological factors, treatment, combined with α2 receptor blocker, bladder smooth muscle relaxants, non-steroidal anti-inflammatory agents, and to provide appropriate psychological counseling and anti-anxiety treatment. (3) massage and hot hip bath.
Discussion: prostatitis syndrome (PS) refers to the reactive bacteria prostatitis, non-bacterial prostatitis, prostate pain and a variety of non-prostate diseases such as bladder neck disease, interstitial cystitis, urinary tract disease caused by a group of clinical group, expressed as urinary frequency, urgency, dysuria, voiding difficulty urinating abnormalities, would be vaginal and testicular discomfort or pain, urethra drops the clinical comprehensive white syndrome, prostatitis syndrome has been a troubled male subjects of the main issues First, adult males are 50% of people in their life have occurred prostatitis syndrome, is a 50-year-old men under the most common cause of urology clinic.
STD prostate longer course, and many patients have neurological, mental performance, in describing the symptoms from time to time with the emotional, concerns more often appear subjective symptoms and objective examination, the results are inconsistent, clinically relevant examinations are normal, but the subjective symptoms are long-standing, therefore, can easily be confused with the neurosis. In addition to conventional treatments for these patients outside of, but also attach importance to psychological treatment. Patients should be informed and objective understanding of their illness, understanding of chronic prostatitis is a chronic disease can not be rapidly eliminated, but does not impinge on the body but can cause serious damage to the treatment required to adhere to treatment, elimination of unnecessary concerns and some of the symptoms misunderstanding, such as the urethra drops of white, sexual dysfunction and so on, to mobilize the positive factors in patients with and enhance the confidence and determination to overcome chronic disease and eliminate some incorrect handling of the formation of iatrogenic false understanding of adverse psychological factors that can adversely the impact of patients need a distraction to interrupt the vicious cycle of fear, take part in more beneficial to mental and physical fitness activities and establish a healthy and disciplined life and work system, we must prohibition, quit spicy food, reasonable rules of life, contribute to the treatment of this disease, we must be careful not to long-distance riding a bicycle, to avoid the cold stimulation, do not stay up all night, not fatigue, maintain adequate sleep, mental workers should avoid sedentary, more water, the urine in order to maintain a certain Chong urethra.
Abdominal pain! Could it be, “Yan” upper body?: Old Lee opened a few hours straight the car, in the toilet, he discovered that belly and the perineum along a while lancinating. Old Li did not care, thinking that a break just fine. Can be a long time, and Old Lee discovered that the problem is not as simple as his most painful is that Qiye several times each night, lie down and then up, urine flow to small, frequent urination constant, which makes the day trance.