Prostatitis

　　The pathogenic bacteria of prostatitis are mostly Staphylococcus aureus, hemolytic streptococcus, and Escherichia coli, which are divided into acute and chronic prostatitis. Common causes of prostatitis include:

　　1. Unhealthy sexual life

　　In daily life, some men often engage in unhealthy sexual activities, which can trigger the occurrence of prostatitis. Experts point out that if men have too frequent sexual activity, it may cause prostatitis. Infection of the urinary and reproductive organs can also lead to this disease.

　　2. Unhealthy diet

　　Some patients, in order to perfectly complete their work in daily life, often forget to eat and sleep, which can lead to the formation of poor eating habits. For example, men often eat spicy and刺激性 food, drink excessively, and do not pay attention to hygiene, which can easily lead to bacteria and other microorganisms infecting the male reproductive and urinary systems, thereby causing prostatitis in men.

　　3. Emotional instability

　　The cause of prostatitis is related to the patient's mental state. In daily life, men often experience emotional fluctuations and anger, which can lead to 'disturbance of the seminal palace and seminal blood exuding', thereby causing men to be prone to prostatitis.

　　疾病治疗不及时，都会对人体产生一定的损伤，男人的精囊炎也不例外，延误治疗会带来各种并发症，严重的影响男性泌尿生殖系统健康。患者朋友需引起重视，当出现精囊炎的症状或并发症时，尽快进行专业的检查和治疗。一般来说，精囊炎将引发的并发症主要有以下几个：

　　1、并发前列腺炎

　　男性精囊炎常常会与男性的前列腺并发出现，使男性的精浆质量受到危害。其中，精浆中会夹杂着细菌，乳酸物质也会增加细菌的毒素，及代谢产物也排泄在精浆中，细菌又会吞吃掉精浆中营养成份，导致不育。精囊炎很容易侵袭到前列腺，而前列腺感染的患者中有80％会合并精囊炎。

　　2、引发性功能障碍

　　精囊炎与前列腺炎并发时，可出现性交疼痛，再加上疾病久治难愈、反复发作，久而久之可能会出现性欲减退、早泄等性功能障碍症状，严重影响夫妻生活。

　　3、降低精子成活率

　　男性的精液中存在的营养物质，使精子的生存以及活动的能源。而男性精囊炎会导致这种营养成分受到破坏，进而导致男性不育。

　　4、影响生育

　　精囊的慢性炎症可引起不育，因为精液中90％是精囊分泌物，是精子活动的动力来源，而精囊发炎时分泌物减少，影响精子活力，从而降低生育能力。

　　精囊炎是男性常见感染性疾病之一，发病年龄多在20～40岁，以血精为主要临床表现，但有急性和慢性之分，个体差异大，临床表现不尽相同。

　　1、疼痛

　　急性者可见下腹疼痛，并牵涉到会阴和两侧腹股沟。慢性者则可出现耻骨上区隐痛，并伴会阴部不适。疼痛症状在射精时明显加剧。

　　2、尿频、尿急、尿痛

　　急性者尿急、尿痛症状明显，并可见排尿困难。慢性者以尿频、尿急，并伴排尿不适、有灼热感为明显。

　　3、血精

　　表现为射精时排出血精，精液呈粉红色或红色或带血块。急性者血精现象更明显。

　　4、其他症状

　　可有发热、恶寒、寒战，此为急性精囊炎所见的全身症状。血尿也是急性精囊炎的表现之一。而射精疼痛，性欲低下、遗精、早泄为慢性者所见。

　　精囊炎是男人常见的感染性疾病，由大肠杆菌所引起，或者由邻近器官感染导致前列腺、精囊充血时，细菌侵入精囊引发炎症，发病年龄多为二十至四十岁，以血精为主要临床表现，其危害及大，会影响男性的生殖系统。

　　1, Patients who have already given birth to children can take a hot sitz bath with 45℃ hot water 1-2 times a day before going to bed, for 30 minutes each time. Patients who have not given birth should not use this method to avoid affecting their fertility. Regularly perform prostate massage to promote blood circulation, facilitate the excretion of inflammatory secretions, but the movements should be gentle, and the techniques should not be too forceful.

　　2, Once seminal emission pain or seminal emission with blood is found, it should be considered that seminal vesiculitis may be present. If treated in a timely manner, the cure rate is high. If the diagnosis and treatment are delayed, it is easy to develop chronic seminal vesiculitis, which makes it difficult to cure. During the illness, sexual intercourse should be prohibited for 3 months.

　　3, Do not overindulge in masturbation, and pay attention to sexual hygiene to prevent excessive congestion of the prostate and the occurrence of reproductive organ infections. Pay attention to daily life and habits, develop good living habits, prevent overfatigue, prevent colds, and carry out effective physical exercise.

　　4, Strengthen physical exercise, enhance physical fitness, avoid upper respiratory tract infections such as colds, timely treat dental caries, prevent diarrhea, actively treat infections in other parts of the body, and improve the body's resistance to diseases.

　　Regarding seminal vesiculitis, the following examinations need to be done:

　　1, Routine seminal fluid examination

　　The culture of seminal fluid with a large number of red blood cells and white blood cells can discover typical symptoms of pathogenic organisms. During ejaculation, seminal fluid is discharged with blood, and the seminal fluid is pink, red, or with blood clots, which may be accompanied by decreased libido, seminal emission, premature ejaculation, or pain during ejaculation, which is most obvious at the moment of ejaculation. In chronic seminal vesiculitis, it can last for a longer time; while in acute seminal vesiculitis, if adjacent organs are infected, it can cause abdominal pain.

　　2, Seminal vesicle angiography

　　3, Ultrasound examination

　　4, CT and MRI scanning

　　Spermatic duct造影 is often performed under general anesthesia or scrotal exploration, although the success rate is high, it causes significant damage to the spermatic duct, cannot be used repeatedly, and there is a possibility of infertility, so it is difficult to be widely used.

　　5, Auxiliary examination

　　The routine examination of seminal fluid shows a large number of red blood cells and white blood cells. The culture of seminal fluid bacteria is positive. In the blood routine examination, acute cases show a significant increase in white blood cells in the blood. When seminal vesiculitis patients undergo digital rectal examination, they can feel an enlarged seminal vesicle, accompanied by tenderness. There may also be mild tenderness in the lower abdomen, perineum, and suprapubic area.

　　In addition to general treatment, patients with seminal vesiculitis should also pay attention to dietary adjustment, and use food therapy to alleviate symptoms.

　　1, Fish soup: 1 fish (200-500 grams), appropriate amount of pepper, minor lemongrass, scallion, and ginger. Remove the scales, gills, and internal organs of the fish, wash them, and cook them in an appropriate amount of water. Add seasonings after they are cooked. Eat the fish and drink the soup. It has the effect of clearing heat and dampness, and is used for seminal emission caused by damp-heat.

　　2, Pork kidney with black beans: 1 pair of pork kidneys, 500 grams of black beans. Clean the pork kidneys, remove the tendons, and cook them with black beans in water until the beans are cooked but not overdone. Eat the pork kidneys and dry the black beans in a strong fire, then chew and eat them. Take 30-60 grams per day, and one course is 15 days. It has the effect of strengthening the yang and benefiting essence, and is used for seminal emission caused by yang deficiency.

　　3, Fresh lotus root congee: 50 grams of fresh lotus root, 50 grams of glutinous rice, and appropriate amount of sugar. Both are cooked into congee, and sugar is added to adjust the taste. It has the effect of clearing heat, cooling blood, and stopping bleeding, and is used for seminal emission caused by blood heat.

　　3. Tendon and vine soup: 80 grams of pig tendons, 50 grams of chicken vine, 6 red dates. First, wash the pig tendons clean, soak in clean water overnight, soak in boiling water for 4 hours the next day, then wash clean with water, and cook with chicken vine and red dates in a pot of water. After the tendons are tender, season with salt, drink the soup and eat the tendons and red dates. It has the effect of promoting blood circulation and removing blood stasis, used for blood seminal fluid caused by blood stasis.

　　4. Carp soup: One carp, with an appropriate amount of pepper, fennel, scallion, and ginger, boil the soup for consumption. It clears heat and relieves dampness, used for blood seminal fluid of damp-heat type.

　　5. Fresh lotus root porridge: 30 to 50 grams of glutinous rice, 50 grams of fresh lotus root, boiled into porridge with water, add a suitable amount of sugar, and eat as desired. It cools blood and relieves heat, used for blood seminal fluid caused by heat pushing blood out.

　　Antibiotics are the main treatment for acute seminal vesiculitis. For chronic seminal vesiculitis, a comprehensive treatment approach is adopted, including antibiotics, hot water sitz bath, estrogens, supportive and symptomatic treatment, etc.

　　1. Antibiotic Selection

　　Acute seminal vesiculitis should be treated until the symptoms completely disappear, and then continue medication for 1 to 2 weeks; chronic seminal vesiculitis requires continued medication for more than 4 weeks to consolidate the efficacy. According to our experience, the application of cephalosporins in combination with quinolones is effective.

　　2. Local Treatment

　　Rectal administration of suppositories such as Chrysanthemum flower suppositories, Qianli'an suppositories, nanosilver antibacterial hydrogel, etc., into the anus; or traditional Chinese medicine enema therapy, which can be administered according to the specific condition of the patient, once a night.

　　3. Abstinence

　　Avoid excessive sexual activity, allow the prostate and seminal vesicle glands to rest. The first month is best to abstain from sexual activity, and in the following 3 to 6 months, 1 to 2 times of sexual activity per month is recommended to reduce the degree of congestion of the sexual organs.

　　4. Seminal Vesicle Prostate Massage

　　Patients with chronic seminal vesiculitis can regularly (1 to 2 times a week) perform seminal vesicle prostate massage. One is to enhance the blood supply to the prostate and seminal vesicle, and the other is to promote the excretion of inflammatory substances.

　　5. Physical Therapy

　　Patients with chronic seminal vesiculitis can undergo rectal microwave therapy, which can promote local blood circulation and inflammation absorption, especially suitable for those with obvious pain symptoms.

　　6. Psychological Treatment

　　Eliminate concerns and enhance their confidence in overcoming the disease.

　　7. Treatment for Blood Seminal Fluid

　　It is still possible to use diethylstilbestrol 1 mg and prednisone 5 mg orally, three times a day, for 2 to 3 weeks, which can usually stop blood seminal fluid.