Understanding prostate pain: Prostate pain, also known as class syndrome. In fact, the symptoms of such patients are not clear about the pathological changes of the prostate itself. Some scholars believe that these symptoms are caused by the tirled muscle pain of the bottom of the pot.The proportion of this type in various types of prostatitis is slightly lower than that of non -bacterial prostatitis.
[Caiser and pathogenesis] The study of urinary dynamics shows that the symptoms of prostate pain are mainly based on the sympathetic nervous system or sympathetic nerve and peripheral nervous system.Some scholars believe that the clinical manifestations of patients with prostate pain and the abnormal manifestations of urine dynamics are mostly related to signs of bladder neck and prostate urethral spasm.The decreased urinary inflow rate of patients is related to the incompleteness of the bladder neck and the abnormal narrowing of the urethral section directly near the urethra.The bladder neck or urethra spasm increases the prostate urethral pressure, which can cause the prostate urinary flow reverse during urination, which can further cause chemical prostatitis (non -bacterial prostatitis).
The symptoms of some patients with prostate pain may be related to mental depression and foothold. Most scholars believe that stress response is the original cause of prostate pain.Many patients with prostate pain acknowledge stress and emotional tension.Even if the stress response is not the cause of prostate pain, it is also an influence; but the stress reaction is not clear enough as the cause of prostate pain.The failure of drug treatment is undoubtedly an emotional interference for some prostate patients.Bladder neck and prostate flat muscle is rich in A-adrenaline receptor. It may increase symptoms due to cold, or due to long-seated, long-distance running, long-distance bicycles or other sports, the perineal muscle group fatigue is related to fatigue.Traditional Chinese medicine believes that this disease is related to the two meridians of the liver and kidney, or the liver and kidney insufficient, feel cold and dampness, gather in the front yin, the cold is stagnant, the meridians are not connected, the bladder is not good;No, qi stagnation liver veins, combined with vulva, qi machines are not connected; in the end, the liver and kidney meridians are not smooth, and the veins are obstructive.
[Clinical manifestations] This type is more common in young and middle -aged, with certain syndrome of non -bacterial prostatitis, and there is no history of urethral infection.Cultivation of urethra, bladder, and prostate specimens without pathogenic organisms.The number of prostate prostate patients with white blood cells and fat -containing macrophages in the exemplactomy in the normal range.Patients with prostate pain have abnormal urinary flow, including slow urinary flow and not clean; urinary flow diagrams see tooth waves, decreased urine flow, and they are characterized by mild or normal urine flow rates.The decrease, or the average urinary flow rate is still normal, but the urination time is prolonged, and the elderly may have obvious residual urine.
Urethral stimulation includes: frequent urination, urgency, and yinur increase.The pain of pain and discomfort is mainly based on perineal, abdominal sulcus, testicles, lumbosacral, and small abdominal pubic arch, and the penis and urethra are more prominent.Typical people can significantly worsen due to excretion, urination, and bowel movements, and even accompanied by ejaculation pain.Many patients with prostate pain can find that the anal sphincter is tight, and the prostate and surroundings are soft; the patient told the patient after anal examination, which was more obvious to check the discomfort around the anus.
[Diagnosis] Diagnosis can be made according to clinical manifestations.Objective examinations have the following characteristics: 1. The prostate is normal for presses; 2. The urinary flow rate test is seen that the urine flow is sloped and semi -tooth waves.Bladder gosseum tests are usually prompted in, mild bladder neck obstruction and various bladder beams; 4. The long course of the disease is that the B -ultrasound prompts obviously residual urine, but the prostate is normal.
[Treatment] Western medicines can be used for antispasmids and analgesic drugs.Traditional Chinese medicine uses blood circulation to promote blood stasis and relieve liver and qi.Our hospital also cooperates with sacral anesthesia to treat prostate pain, and the clinical statistics of the perineum pain are better.
In addition, psychotherapy and preventive health care are also important methods.
(Editor in charge: Xiaofeng)
