Nonbacterial prostatitis is one of the most common prostatitis syndrome whose symptoms can not be explained clearly. Abnormal amount of inflammatory cells in prostate secretion is a significant sign of nonbacterial prostatitis. However, from germiculture or other methods, we can not find pathogens. Experts have tried to certify some usual pathogens, such as obligate anaerobic bacteria,
mycoplasma,
chlamydia, other parasites or viruses as the causes of nonbacterial prostatitis, but in vain.
Nonbacterial prostatitis causes:
Researchers assume that chlamydia may have something to do with nonbacterial prostatitis. However, there's no enough proof to confirm the obvious causality between the two through bacteriology or serology. Some researchers consider that nonbacterial prostatitis is actually a immunological disease, furthermore, only other specific prostatitis are excluded can we diagnose this disease.
In fact, causes of nonbacterial prostatitis are not made certain. Whether chlamydia trachomatis is the pathogen is a controversial view. Whereas, forty percent of nongonococcal urethritis patients and patients who have acute
epididymitis under the age of 35 are victims of chlamydia trachomatis. Moreover, mycoplasma largely exist in patients who have nonbacterial urethritis (whose pathogen is not chlamydia), and antibiotic (can not treat chlamydia) for treating mycoplasma is effective in nonbacterial urethritis treatment. Hence, both chlamydia trachomatis and mycoplasma can be causes of nonbacterial prostatitis. Besides, relationship between infertility and chlamydia or mycoplasma has not been confirmed yet. Obviously, further study is demanded. By the way, it is said that viruses, fungi and anaerobes can all be nonbacterial prostatitis causes.
Nonbacterial prostatitis symptoms(clinical manifestation):
Symptoms of nonbacterial prostatitis is similar with that of bacterial prostatitis. Pain and constriction in back and pubis; discomfort or swelling pain in pudendum, perineum area, anus; frequent urination, urinary urgency, pain when urinating; white secretions comes through urethra; hypodynamia or neurasthenia symptoms; sexual dysfunction (impotence and premature ejaculation ); prostate enlargement (caused by inflammation, gore, congestion); macrophage and leucocyte in prostate fluid are more than those before tested, but bacterial culture is tested negative. Nevertheless, DNA-PCR of chlamydia and mycoplasma( from prostate fluid ) may also be tested be positive.
Ways to relieve symptoms of nonbacterial prostatitis:
1. Alleviate the pressure, relax spirit, stable mood, steady blood pressure, lighten the angry and drained feeling, and improve the insomnia.
2. Keep a healthy diet. No smoking, drinking and spicy food.
3. Keep away from cold and long-time sitting or riding.
4. Couples can have regular intercourses, which helps to discharge inflamed prostate fluid.
Bacterial prostatitis diagnosis:
digital examination of rectum
Swelling prostate; distinct tension; local high temperature; glaze surface; fluctuation when there's a cyst. As to chronic nonbacterial prostatitis, prostate is plump and increscent; tenderness is not much clear. Especially for long uncured chronic nonbacterial prostatitis patients, their prostates can reduce, stiffen and emerge small indurations.
examination of prostatic fluid ;
Excess leucocyte in prostate fluid smear; decreased lecithin.
Nonbacterial prostatitis treatments:
Special treatment. Due to causes of nonbacterial prostatitis is not certain. That whether chlamydia or mycoplasma is the pathogen of nonbacterial prostatitis seems questionably. Consequently, antibiotic that aims at treating special pathogens can be applied to clinical practices.
Prostatectomy. A lot of scholars believe that prostatectomy does not apply to nonbacterial prostatitis treatment. Patients should be told that chronic nonbacterial prostatitis is a chronic disease which can not give rise to fearful sequela and life danger.
General treatment. Some therapists advocate patients to receive periodic prostate massage. In addition, "ways to relieve symptoms of nonbacterial prostatitis" can also be classified into general treatment.
Chinese herbal treatment
Diuretic and Anti-inflammatory Pill. Feedbacks given by patients show effectiveness of Chinese herbal treatment. Dr.Lee is an expert in this field. She studies traditional Chinese medicine and devotes herself in the career of treating female and male reproductive and urinary system diseases, such as prostatitis,
cystitis, mycoplasma, chlamydia, etc.
