Why do men get prostatitis
Asked by:Georgia
Asked on:Apr 10, 2026 07:59 PM
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Melinda
Apr 10, 2026
Prostatitis may be related to factors such as long-term urination, sedentary life, pathogen infection, immune abnormalities, mental stress and other factors. Prostatitis usually presents with symptoms such as frequent urination, urgency, and perineal swelling and pain, which can be relieved through drug treatment, physical therapy, etc.
1. Holding urine for a long time
Holding urine for a long time can cause urine to reflux into the prostate, irritating the gland and causing inflammation. This kind of situation is mostly related to professional habits, such as drivers, programmers and other people who need to reduce the frequency of urination. Improvement measures include regular urination, drinking 1500-2000 ml of water every day, and avoiding overfilling of the bladder. If you have a burning sensation during urination, you can use tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules and other drugs as directed by your doctor.
2. Sedentary for a long time
Continuous sitting for long periods of time will block local blood circulation in the prostate, causing accumulation of metabolites and inducing inflammation. It is common among office workers and other workers who work at their desks for long periods of time. It is recommended to get up and move around for 5 minutes every hour and use ergonomic seat cushions to relieve pressure. When combined with pelvic pain, microwave physiotherapy or celecoxib capsules can be used to control symptoms.
3. Pathogen infection
Retrograde infection through the urethra by pathogens such as Escherichia coli and gonococcus is the main cause of bacterial prostatitis. It is mostly secondary to unclean sexual behavior or incomplete cure of urinary system infection. Typical symptoms include urethral discharge, fever, etc., which need to be confirmed by prostatic fluid culture. Antibiotics such as levofloxacin tablets and azithromycin dispersible tablets are commonly used for treatment, and the course of treatment must be completed in sufficient quantity.
4. Immune abnormalities
An autoimmune reaction may lead to sterile prostatitis, in which a large number of white blood cells are seen in the patient's prostatic fluid but the culture is negative. This type of situation is often related to chronic stress and intestinal flora disorders. Adjustment measures include probiotic supplementation, pelvic floor muscle training, and in severe cases, short-term use of prednisone tablets to control the immune response.
5. Mental stress
Long-term anxiety and depression will affect prostate function through neuroendocrine pathways, which is manifested by recurring symptoms but normal test indicators. Psychological counseling combined with regular exercise can help improve symptoms, such as Baduanjin, jogging, etc. If necessary, anti-anxiety drugs such as paroxetine tablets can be used in combination, but you must be wary of adverse reactions such as dizziness.
To prevent prostatitis, you need to maintain a regular schedule, avoid spicy and irritating foods, and take a sitz bath in warm water for 10-15 minutes every day to promote local blood circulation. It is recommended that prostate-specific antigen screening be performed every year, and that you should seek immediate medical attention from a urology department if you experience persistent urinary abnormalities or pelvic pain for more than two weeks. The duration of exercise such as cycling needs to be controlled, and the hollow pressure-reducing style of seat cushion should be used to reduce prostate compression.
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