Chronic nonbacterial prostatitis is mainly manifested in pelvic pain, which can be seen in the perineum, penis, perianal region, urethra, pubic bone or lumbosacral region. Micturition abnormality can be manifested as urgent urination, frequent micturition, dysuria and night urination. The pathogenesis is not clear, the etiology is very complex, there is a wide range of disputes. Chronic non – bacterial prostatitis (prostate gland) lacks objective and specific diagnostic evidence, and should be differentiated from diseases that may lead to pain and abnormal urination in the pelvic region. Patients with abnormal urination should be given clear bladder outlet obstruction and abnormal bladder function.
The etiology is very complex, and most scholars believe that its main causes may be pathogens infection, inflammation and abnormal pelvic floor nerve muscle activity and immune abnormalities. First one is pathogen infection: Although the routine bacterial examination failed to isolate the pathogen, it may still be related to some special pathogens: such as anaerobic bacteria, l – shaped strain, Nami, or chlamydia trachomatis, mycoplasma infection. Second is voiding dysfunction: Some factors cause excessive contraction of the urethral sphincter, resulting in bladder outlet obstruction and residual urine formation, resulting in urine reflux into the prostate, not only can bring pathogens into the prostate, but also directly stimulate the prostate, induced aseptic ” chemical prostatitis. “.The third one is factors associated with pelvic diseases: Interstitial cystitis is a possible cause, the peripheral venous plexus expansion, hemorrhoids, varicocele, and so on is one of the causes of chronic prostatitis. The clinical manifestations are mainly pelvic pain, which can be seen in the perineum, penis, perianal region, urethra, pubic bone or lumbosacral region. Micturition abnormality can be manifested as urgent urination, frequent micturition, and dysuria and night urination. Because of chronic pain, the quality of life of patients is decreased, and may have sexual dysfunction, anxiety, depression, insomnia, memory decline, and so on.
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