What is sterile chronic prostatitis

Sterile chronic prostatitis refers to a disease in which an inflammatory reaction exists in the prostate for a long time but no pathogen is detected. It is a type of chronic prostatitis and mainly manifests as perineal pain, abnormal urination and other symptoms. Aseptic chronic prostatitis may be related to pelvic floor muscle dysfunction, immune factors, neuroendocrine disorders, urinary reflux, mental and psychological factors, etc., and can be intervened through lifestyle adjustments, physical therapy, drug therapy, etc.

1. Pelvic floor muscle abnormalities

Pelvic floor muscle spasm or coordination disorders may block blood circulation in the prostate area, causing sterile inflammation. Patients often present with interrupted urination, dribbling after urination, and a feeling of soreness and distension in the perineum. It can be relieved through biofeedback treatment combined with warm water sitz bath. The doctor may recommend the use of tamsulosin hydrochloride sustained-release capsules, celecoxib capsules and other drugs to improve symptoms, but the possibility of bacterial infection needs to be ruled out.

2. Immune factors

Abnormal autoimmune reactions may induce chronic damage to prostate tissue, and anti-prostate antibodies can be detected in the serum of some patients. This type of situation is often accompanied by dull pain and fatigue in the lumbosacral region, and overexertion needs to be avoided. In clinical practice, total glycosides of paeony capsules combined with low-intensity aerobic exercise may be used to regulate immunity, and prednisolone tablets may be used to control inflammatory reactions when necessary.

3. Neuroendocrine disorders

Excessive excitement of sympathetic nerves may cause abnormal contraction of prostate gland ducts, causing secretions to accumulate and cause chemical stimulation. Frequent urination at night and testicular pain are common in patients, and symptoms worsen after stress. Oryzanol tablets can be tried to regulate autonomic nerve function, combined with regular work and rest and perineal muscle exercise. In severe cases, methylcobalamin tablets may be used to nourish the nerves.

4. Urinary reflux stimulation

The reverse flow of urine into the prostate duct during urination may cause aseptic inflammation, which is more common in people who hold back urine for a long time. Typical symptoms include burning sensation during urination and terminal hematuria. It is necessary to drink more than 2000 ml of water every day. The doctor may prescribe sodium potassium hydrogen citrate granules to alkalize the urine, combined with Longkushu capsules to reduce glandular congestion.

5. Mental and psychological factors

Anxiety and depression can affect pelvic organ function through neurotransmitters, and about half of patients have psychological disorders. In addition to cognitive behavioral therapy, paroxetine hydrochloride tablets can be used short-term to improve mood, and levator ani exercises can be performed to enhance local blood circulation. Avoiding prolonged sitting and excessive intake of spicy foods can help reduce symptoms.

Patients with aseptic chronic prostatitis should establish regular urination habits, perform exercises such as brisk walking or swimming for 30 minutes a day, and add tomatoes, pumpkin seeds and other zinc-rich foods to their diet. Pay attention to keeping the perineum warm and avoid activities that compress the prostate such as riding. If symptoms persist for more than 3 months or if hematospermia or fever occurs, timely reexamination is required to rule out the possibility of other organic diseases. During treatment, it is recommended to perform prostate massage 1-2 times a month to promote drainage, but massage is prohibited during acute attacks.