Chronic Prostatitis Is Not Always Caused by Bacterial Infections

Chronic prostatitis is a long-term inflammation of the prostate, with primary symptoms including frequent urination, urgent need to urinate, difficulty in urinating, and sometimes pain in the perineum and lower abdomen. These symptoms can severely affect the quality of life, causing patients often to feel distressed and helpless.

When people hear the word "inflammation," they naturally think of bacterial infections. However, this is not sometimes the case. Chronic prostatitis is not solely caused by bacteria; it includes both bacterial and non-bacterial prostatitis:

Chronic Bacterial Prostatitis

This type accounts for 5% to 10% of all prostatitis cases. It is caused by the persistent presence of bacteria or recurrent infections. Its characteristics include a slow onset, stubborn condition, difficulty in curing, and a tendency to relapse. Antibiotic therapy is the primary treatment method, typically lasting four to six weeks or even longer.

Chronic Non-Bacterial Prostatitis

This is the most common prostatitis, accounting for over 90% of cases. It is characterized by the absence of clear evidence of bacterial infection, yet patients still exhibit similar symptoms. The treatment methods are varied and may include anti-inflammatory drugs, alpha-blockers, physical therapy, and psychological counseling.

The medical community has not fully understood the exact causes of non-bacterial prostatitis.

However, several factors are believed to be potential triggers:

1. Immune Factors

Chronic prostatitis may be related to autoimmune factors. Patients with this condition often develop antibodies against prostate tissue due to congenital or acquired immune deficiencies, leading to prostate tissue damage. If no evidence of bacterial, viral, or mycoplasma infection is found after examination, immune factors should be considered.

2. Occupational Factors

Certain professions, such as drivers and office workers who sit for extended periods, can lead to slower blood circulation in the prostate. This can cause congestion in the pelvic area and prostate, making individuals more susceptible to this condition.

3. Urine Irritation

Urine contains various acidic and alkaline chemicals. When patients experience local neuroendocrine disruptions that cause increased pressure in the posterior urethra and damage to the openings of the prostatic ducts, irritating substances such as uric acid can flow back into the prostate, triggering chronic prostatitis.

4. Other Factors

Dietary habits, such as excessive consumption of spicy foods, alcohol, and caffeine, may affect prostate health to some extent. Certain urinary system diseases, like bladder dysfunction, can also lead to symptoms of prostatitis.

If you are diagnosed with chronic prostatitis, there's no need to panic. Here are some suggestions to help alleviate your symptoms:

1. Consult Your Doctor

Seek advice from a professional doctor to choose the appropriate treatment based on your specific condition. This may include medication, physical therapy, and psychological support.

2. Healthy Lifestyle

Maintain good dietary habits by avoiding spicy and greasy foods and drinking plenty of water to help improve symptoms. Consuming foods rich in zinc, vitamin E, and antioxidants, such as seafood, nuts, and leafy green vegetables, can promote prostate health.

3. Regular Exercise

Moderate physical exercise can improve blood circulation, strengthen the immune system, and reduce pressure in the pelvic area. Low-intensity aerobic exercises like walking, swimming, and yoga are recommended.

4. Psychological Adjustment

When under stress, practice self-regulation techniques like meditation, yoga, and deep breathing to relieve psychological burdens. If stress and anxiety are severe, consider seeking help from a psychologist.

Chronic prostatitis is not something to fear and is not always caused by bacterial infections. By understanding the disease, adjusting your lifestyle, and actively cooperating with your doctor’s treatment, you can effectively manage your symptoms and regain a healthy life.

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