Is aseptic prostatitis scary?

Sterile prostatitis is usually not scary and is a chronic non-bacterial inflammation. Most patients can effectively control their symptoms through standardized treatment. Aseptic prostatitis may be related to long-term sitting, mental stress, pelvic floor muscle spasm and other factors. It mainly manifests as perineal swelling and pain, discomfort during urination, etc., but it will not be contagious or cause serious complications.

The symptoms of sterile prostatitis are usually mild and slowly progressing. Patients may experience intermittent dull pain or swelling in the perineum, burning of the urethra during urination, or frequent and urgent urination. Some people may experience soreness and swelling in the lumbosacral region. These symptoms can be improved by adjusting lifestyle, such as avoiding sitting for long periods of time, exercising regularly, and reducing spicy food stimuli. Commonly used clinical drugs include tamsulosin hydrochloride sustained-release capsules, celecoxib capsules, etc. to relieve symptoms, but they need to be used under the guidance of a doctor.

A small number of patients may have recurring symptoms due to a long course of disease or lack of standardized treatment. If ignored for a long time, it may induce psychological problems such as anxiety and depression, or aggravate pelvic floor muscle dysfunction. At this time, comprehensive intervention such as physical therapy such as warm water sitz bath, biofeedback training, etc. is needed. In rare cases, the quality of life may be affected by persistent pain, and special methods such as neuromodulation treatment need to be considered.

After being diagnosed with aseptic prostatitis, excessive anxiety should be avoided. Maintaining a regular schedule and moderate exercise can help relieve symptoms. It is recommended to drink 1500-2000 ml of water every day, avoid alcohol and caffeine stimulation, and perform pelvic floor muscle exercises 3-5 times a week. If symptoms persist for more than 1 month or worsen, you should promptly go to the urology department for review and adjust the treatment plan.