Prostatitis is a prevalent condition affecting adult men across all age groups, with an ever-increasing number of cases. For those seeking treatment, a common question arises: should they visit the Urology or Andrology department?
Understanding Urology and Andrology
Although Urology and Andrology are often conflated, they are distinct departments. Initially part of the same discipline, Andrology has branched out as a specialized field focusing solely on male reproductive health, covering conditions like male infertility, erectile dysfunction, and sexual dysfunction.
On the other hand, Urology addresses diseases of the urinary tract, including urinary stones, infections, and tumors in the kidneys, bladder, and related organs.
Where to Go for Prostatitis
Prostatitis falls under the purview of Urology. It is advisable to register with the Urology department for comprehensive treatment. Andrology, being a subspecialty, can also handle prostatitis since it deals with male reproductive organs, which overlap with the urinary system in functions and diseases.
Patients can enroll in either the Andrology clinic or the Urology department, depending on the hospital's structure.
Diagnosis and Treatment
Upon consultation, patients undergo a series of evaluations based on clinical symptoms and tests:
1. Clinical Symptoms: Frequent urination, urgency, difficulty, post-urination dribbling, nocturia, and localized pain like perineal distension or lower back pain are indicative of prostatitis. It can also manifest as sexual dysfunction.
2. Tests and Cultures: Examinations include routine analysis of prostate fluid, cultures, and prostate ultrasound to confirm prostatitis and its type. This typically involves a prostate massage followed by analysis of the secretions for white blood cells and lecithin bodies.
An increase in leukocytes and a decrease in lecithin bodies can confirm prostatitis. Bacterial cultures from prostate fluid can identify bacterial prostatitis.
Medication and Lifestyle Adjustments
The primary treatment for prostatitis is medication. Nonbacterial prostatitis can be treated with Chinese patent medicines like Diuretic and Anti-inflammatory Pill, which regulates the genitourinary system, reducing inflammation and urinary discomfort.
For bacterial prostatitis, antibiotics such as cefuroxime and levofloxacin are recommended based on sensitivity.
Moreover, dietary habits play a role in managing prostatitis. Spicy and stimulating foods should be avoided in favor of nutritious vegetables and fruits. Ample water intake, adequate sleep, and regular exercise are essential to boost metabolism and immunity.
In conclusion, men with prostatitis have the option of seeking treatment from either Urology or Andrology departments. With proper diagnosis and a holistic approach to treatment, including medication and lifestyle modifications, prostatitis can be effectively managed.
