Why is chronic prostatitis so difficult to treat? Netizens responded: It's so difficult for me!

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Chronic prostatitis is a disease that many men talk about discoloration, not because of the serious consequences of the disease, nor life-threatening, but because of its long course of disease, chronic protraction and difficult to cure, which seriously affects the quality of life of patients. Statistics show that about 50% of men will be affected or troubled by prostatitis in their lifetime. The author concludes that the following aspects are important reasons for the refractory treatment of the disease.

  1. The anatomical factors are complex

The prostate belongs to a part of the urethra, and is in the awkward position of "there are chasing soldiers in front, and tigers and wolves in the back". "There are chasing soldiers in the front" means that pathogenic microorganisms outside the urethra easily pass through the anterior urethra to cause retrograde infection of the prostate; "There are tigers and wolves in the back" means that the urine in the bladder may also cause reflux of the prostate gland, causing chemical inflammation and bacterial infection. The prostate gland is very small, and the secretion of prostatic fluid is not smooth, which is easy to block and induce inflammation. The outer layer of the prostate has a dense surgical capsule, which makes it difficult for drugs to reach the disease and have a therapeutic effect.

  1. Dampness removes suffering

Clinically, many patients with chronic prostatitis are found to have frequent urination, urinary urgency, white dripping urethra, thick and greasy tongue coating, slippery pulse, just like the performance of dampness block. "Dampness" is the most common among the six evils in traditional Chinese medicine, and it is also the most difficult to eradicate. Since moisture has the characteristics of decreasing wetness and sticking wetness, it is difficult to remove moisture. It's like the cotton jacket has been washed, the upper part is easy to dry, and the lower part is difficult to dry. No matter how to remove dampness, such as clearing heat and drying dampness, diverting water and penetrating dampness, warming water dampness, etc., it may be useless in the end. Many chronic prostatitis patients have been "baptized" by long-term antibiotic treatment, which can easily lead to damage to the spleen-yang, inability to transport water and dampness, aggravate the infestation of dampness, and make prostatitis more difficult to remove.

  1. Other pelvic diseases

Patients with chronic prostatitis are often accompanied by varicocele, hemorrhoids and other venous stasis diseases in the pelvis. The long-term chronic congestion of these venous blood vessels also indirectly leads to congestion around the prostate, which is very unfavorable for the elimination of prostatitis. Long-term associated with groin , Bulging pain around the perineum. Therefore, chronic prostatitis has another name: congestive prostatitis.

  1. Sedentary socializing constantly

Male prostatitis is more common in young and middle-aged men, and it usually occurs in men under the age of 50 in the "peak period" of their careers. These men often have the habit of sedentary, and some are not willing to sit for a long time, but helpless, and the nature of the work requires it. Therefore, men who are engaged in IT, clerks, and drivers will have a higher incidence and more severe symptoms. Today's society is also an era where information needs to be exchanged, and many times it is done at a wine table and dinner. During this process, it is inevitable to come into contact with wine. Before drinking, there are all kinds of pride and ambition, and after drinking, there are all kinds of regrets, unknowingly. The prostate has suffered.

  1. Lack of masculinity

Men are bold and unrestrained by nature. When encountering things, they take charge of themselves. This is the biggest difference from women. In my opinion, this is the feeling of men. Patients with chronic prostatitis are often withdrawn, not good at various communication, and tend to hide all kinds of discomfort and pain in their hearts. They are embarrassed to face the doctor directly unless it is a last resort. Therefore, depression is prone to occur, and if it is difficult to heal for a long time, various anxiety will appear. Therefore, the author believes that the inability to cure the disease is closely related to the patient's lack of "feelings of men".

In a word, everything has its own reasons. Chronic prostatitis is refractory to both objective reasons and subjective reasons. Objective reasons need more andrologists to work together to correct, and subjective reasons need to be overcome by patients themselves.

Li Gangqin, Department of Andrology, Wuxi Hospital of Traditional Chinese Medicine

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