What is serious about prostatitis?
Prostatitis is a common urinary system disease in men. It can be divided into acute and chronic types according to the course and symptoms. In recent years, the incidence of prostatitis has been on the rise and has become one of the hot topics in men's health. This article will combine the hot content of the entire Internet in the past 10 days to analyze the severity judgment criteria of prostatitis in detail and provide structured data for reference.
1. Grading of severity of prostatitis
The severity of prostatitis is primarily judged based on symptoms, laboratory tests, and complications. The following are common grading standards:
| Severity | Symptoms | Laboratory test results | Risk of complications |
|---|---|---|---|
| Mild | Mild urinary frequency, urgency, and occasional pelvic discomfort | Prostatic fluid white blood cells slightly elevated | low |
| Moderate | Obvious urinary frequency, urgency, difficulty urinating, and persistent pelvic pain | Prostatic fluid white blood cells are significantly elevated, and bacterial culture may be positive | medium |
| Severe | Severe pain, extreme difficulty urinating, fever and other systemic symptoms | Prostatic fluid white blood cells were significantly elevated, and bacterial culture was positive. | high |
2. Serious symptoms that require vigilance
When the following symptoms appear, it indicates that prostatitis may have progressed to a serious stage and requires immediate medical attention:
1.High fever that persists: Body temperature continues to be above 38.5°C, accompanied by chills
2.Extreme difficulty urinating: Complete inability to urinate, urinary retention occurs
3.severe pain: Unbearable pain in the perineum, lower abdomen or waist
4.hematuria or pyuria: Obvious blood or pus in urine
5.systemic symptoms: Such as fatigue, loss of appetite, weight loss, etc.
3. Laboratory indicators of prostatitis severity
The following are the reference values of important laboratory indicators to judge the severity of prostatitis:
| Check items | normal range | mild abnormality | Moderately abnormal | severe abnormality |
|---|---|---|---|---|
| prostatic fluid white blood cells | <10pcs/HP | 10-20pcs/HP | 20-50pcs/HP | >50pcs/HP |
| Urine routine white blood cells | Negative or occasional | + | ++ | +++ and above |
| Routine blood white blood cells | 4-10×10⁹/L | 10-12×10⁹/L | 12-15×10⁹/L | >15×10⁹/L |
| CRP | <8mg/L | 8-20mg/L | 20-50mg/L | >50mg/L |
4. Risk of complications of prostatitis
Severe prostatitis can lead to a variety of complications. The following are common complications and their incidence rates:
| Complications | incidence | risk factors |
|---|---|---|
| prostate abscess | 2-5% | Diabetes, low immune function |
| sexual dysfunction | 15-30% | Chronic prostatitis, long course of disease |
| infertility | 5-10% | Recurrent infections and decreased semen quality |
| urinary retention | 3-8% | acute bacterial prostatitis |
| sepsis | 1-2% | Severe infection not treated promptly |
5. Treatment suggestions for prostatitis
Depending on the severity of prostatitis, treatment options vary:
1.mild prostatitis: Lifestyle adjustment + symptomatic treatment
2.moderate prostatitis: Antibiotic treatment + physical therapy
3.severe prostatitis: Hospitalization + intravenous antibiotics
Special reminder: The treatment of prostatitis needs to be completed throughout the entire course of treatment. Even if the symptoms are relieved, the medication should not be stopped without authorization, otherwise it will easily lead to recurrence of the condition and the development of drug resistance.
6. Suggestions for preventing prostatitis from getting worse
1. Avoid sitting for long periods of time and get up and move around for 5-10 minutes every hour
2. Maintain a regular sexual life and avoid excessive or abstinent sex
3. Drink more water and keep urine output at 1500-2000ml/day
4. Avoid spicy food and alcohol
5. Keep warm, especially the perineum.
6. Regular physical examination, early detection and treatment of urinary system diseases
Summary: The severity of prostatitis needs to be comprehensively judged based on symptoms, laboratory tests, and risk of complications. When severe symptoms occur or laboratory indicators are obviously abnormal, timely medical treatment should be sought to avoid adverse consequences caused by delayed treatment. Maintaining a healthy lifestyle and regular physical examinations are key to preventing the occurrence and exacerbation of prostatitis.
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