Prostatitis sufferers may undergo a spectrum of symptoms encompassing urinary frequency, urgency, lower back pain, perineal swelling, and a sense of incomplete voiding. However, not all instances of prostatitis showcase urinary symptoms; more commonly, it presents with a dominant cluster of indications. For some patients, urinary frequency takes precedence, while for others, perineal swelling emerges as the chief sign. Additionally, pelvic pain, lower back discomfort, or even sexual dysfunction might be experienced.
Can prostatitis develop without the presence of urinary symptoms? The response is affirmative.
Primarily, some individuals may not manifest urinary symptoms. This could be attributed to a less intense inflammation that hasn't triggered apparent urinary manifestations. Furthermore, urgency and frequency are not consistently observed in all prostatitis cases; certain patients might grapple with pelvic pain syndrome, urinary bifurcation, sexual dysfunction, impotence, or premature ejaculation.
Furthermore, prostatitis may not necessarily display urinary symptoms for some individuals. Urinary frequency and urgency are nonspecific markers of prostatitis. In line with the International Chronic Prostatitis Classification, those with chronic non-bacterial prostatitis might not demonstrate urinary symptoms like frequency and urgency. Instead, they might exhibit an array of neurological, physiological, and psychological symptoms, such as pelvic pain syndrome, discomfort in the scrotum, lower abdominal distress, anal discomfort, and more. These symptoms stem from chronic non-bacterial prostatitis and are characterized by their nonspecific nature.
Lastly, asymptomatic chronic prostatitis pertains to cases where an elevated concentration of white blood cells is detected in prostate fluid or semen during routine examinations, yet the patient doesn't grapple with lower urinary tract symptoms or voice concerns of pelvic discomfort. This often transpires early in the disease's progression or after prostatitis symptoms have subsided following treatment, even as white blood cells continue to persist in the prostate fluid.
Though not all prostatitis patients encounter urinary symptoms, treatment remains crucial when other symptoms manifest.
Antibiotic treatment: Prostatitis arising from bacterial infection (Type I and Type II) can be managed under medical guidance with oral ciprofloxacin capsules or intravenous ampicillin sodium administration.
Medication treatment: Type III prostatitis, driven by non-bacterial factors, primarily targets discomfort. Medications like tamsulosin and doxazosin can be employed for regulation. Traditional Chinese medicine, such as Diuretic and Anti-inflammatory Pills, can also be considered. Additionally, physical therapy involving localized warm sitz baths and warm compresses can yield favorable outcomes.
Behavioral therapy: Refrain from consuming spicy or stimulating foods, and abstain from smoking and alcohol. Maintain a moderate level of physical activity, steer clear of prolonged sitting, and avoid retaining urine. Ensuring warmth during colder periods is crucial, and regular sexual activity is recommended. Patients can also embrace self-care practices such as engaging in warm sitz baths for twenty minutes each morning and night, if feasible.
Patients can perform self-massage at home. Following bowel movements, ensure the anus and lower rectum are properly cleansed, and employ the middle or index finger to apply gentle pressure to the prostate gland. Massage for three to five minutes during each session to promote the drainage of prostate fluid through the urethra.
