Medical experts introduce that prostatodynia is not a disease but a syndrome. They each have their own causes, symptoms and prognosis. They can be divided into acute and chronic bacterial prostatitis, non-bacterial prostatitis and prostatodynia.
Prostatodynia is known as a special type of non-bacterial prostatitis. Especially for patients with "pelvic pain syndrome", they have persistent or intermittent symptoms such as frequent urination, urgency, and difficulty in urination, but no history of urinary tract infection. Digital rectal examination of the prostate shows no abnormalities, smear microscopy of prostatic fluid is normal and bacterial culture is negative. There are usually no obvious pathological changes of inflammation in the prostate. It commonly occurs in young and middle-aged men aged 20-45.
Prostatodynia is not a true infection of the prostate. The cause of prostatodynia mainly focuses on reasons outside the prostate. For example: true, spasmodic pain of the urethral muscle, prostate muscle or pelvic floor muscle. This kind of pain is often related to mental emotions. Many scholars also believe that short-term spasm of the urethra and tense myalgia of the pelvis are another cause of prostatitis. Experts from Beijing Military General Hospital once conducted urodynamic examinations on 64 patients with prostatodynia, and found that 72% of the patients had bladder outlet obstruction and 96% of the patients had decreased urine flow rate. Overall, 70% of patients have abnormal spasm of the bladder and urethra as the only cause. 17% of patients have spasm accompanied by tense myalgia of the pelvic floor or benign prostatic hyperplasia, 9% of patients only have tense myalgia of the pelvic floor, and 3% only have symptoms without a cause.
Patients with prostatodynia are often accompanied by emotional tension and instability, and often have sexual psychological abnormalities and severe anxiety. The response of prostatodynia patients to treatment seems to be related to the degree of psychological abnormalities.
The treatment of prostatodynia is based on its different clinical symptoms, causes, etc. For example, hot water sitz bath, local massage of the perineum, etc. If there is perineal pain and difficulty in urination, α-receptor blockers or diazepam can be selected. In addition, traditional Chinese medicine seems to be more effective.