What are the symptoms of aseptic prostatitis?

Aseptic prostatitis mainly manifests as perineal distension and pain, frequent urination and urgency, and difficulty in urination. Sterile prostatitis is usually caused by bad living habits, immune abnormalities, neuromuscular dysfunction, psychological factors, abnormal local anatomical structures, etc. It can be relieved by adjusting lifestyle, drug treatment, physical therapy, etc. It is recommended that patients seek medical treatment promptly and follow the doctor's instructions for intervention after the cause of the disease is clarified.

1. Perineal swelling and pain

Persistent or intermittent distending pain in the perineum is a typical manifestation of aseptic prostatitis, and the pain may radiate to the lumbosacral region or testicles. This symptom is related to prostate congestion and pelvic floor muscle spasm. Patients can follow the doctor's advice to use celecoxib capsules to relieve pain, and use warm water sitz baths to improve local blood circulation. Avoiding activities that put pressure on the perineum, such as sitting for long periods of time or riding, can help reduce symptoms.

2. Frequent urination and urgent urination

Increased urination with a sense of urgency is a common symptom, especially at night. This is related to inflammation of the prostate tissue irritating the bladder neck. Tamsulosin hydrochloride extended-release capsules can relax urethral smooth muscle and reduce urinary discomfort. Patients need to control the amount of water they drink within 2000 ml and limit fluid intake 2 hours before going to bed.

3. Difficulty urinating

Some patients experience hesitation during urination, thinning of the urine line, or a feeling of incomplete urination, which is caused by the swelling of the prostate compressing the urethra. Doxazosin mesylate tablets can be used to improve urinary function. Maintain regular bowel habits to avoid constipation and increased abdominal pressure. When urinating, you can use the double urination method, urinating again after a few seconds to ensure that the bladder is empty.

4. Sexual dysfunction

Erectile dysfunction or painful ejaculation may occur, related to changes in nerve sensitivity caused by inflammation. Sildenafil citrate tablets can be used short-term under the guidance of a doctor. Patients need to reduce sexual stimulation and avoid repeated congestion of the prostate. Moderate aerobic exercise such as brisk walking can help improve blood circulation in the pelvic floor.

5. Psychiatric symptoms

Long-term discomfort can easily lead to psychological symptoms such as anxiety and insomnia, forming a pain-stress vicious cycle. Flupentixol and Melitracen tablets can regulate neurological function. It is recommended to relieve stress through mindfulness meditation and maintain 7 hours of sleep a day. Psychological counseling or joining a patient support group can help establish a positive treatment attitude.

Patients with aseptic prostatitis should avoid spicy foods and eat tomatoes, pumpkin seeds and other foods rich in antioxidants in moderation. Perform levator exercises 3 times a day for 5 minutes each time to strengthen the pelvic floor muscles. Pay attention to keeping warm and avoid catching cold, and choose breathable cotton underwear. Strictly follow the doctor's instructions when taking medication, do not adjust the dosage or interrupt treatment on your own, and review regularly to evaluate the efficacy. If symptoms continue to worsen or hematuria or fever occur, seek medical attention immediately.