The difference between prostatic hyperplasia and prostatitis

Prostatic hyperplasia and prostatitis are two different prostate diseases. The former is a benign tissue hyperplasia, while the latter is mostly caused by infection or inflammatory reaction.

1. Differences in causes

Prostatic hyperplasia is mainly related to aging and changes in androgen levels, and is manifested by an increase in the number of prostate gland cells. Prostatitis is mostly caused by bacterial infection or non-infectious inflammation. Common pathogenic bacteria include Escherichia coli, Staphylococcus aureus, etc. It may also be related to factors such as urinary dysfunction and immune abnormalities.

2. Symptom characteristics

The main manifestations of prostatic hyperplasia are urination disorders, such as frequent urination, increased nocturia, thinning of the urine line, and labored urination. Typical symptoms of prostatitis include perineal pain and burning sensation during urination. Acute attacks may be accompanied by fever, and chronic patients may experience discomfort in the pelvic area.

3. Infected groups

Prostatic hyperplasia tends to occur in middle-aged and elderly men over 50 years old, and the incidence increases with age. Prostatitis can occur in all age groups, among which young and middle-aged men are more likely to develop bacterial prostatitis, and the elderly have a higher proportion of chronic non-bacterial prostatitis.

4. Diagnostic methods

Prostatic hyperplasia is an enlargement of the gland that can be palpated by digital rectal examination, and ultrasound examination shows that the prostate volume exceeds 20 ml. Prostatic fluid examination is required for prostatitis. Bacterial prostatitis can show increased white blood cell count and positive culture of pathogenic bacteria, while non-bacterial prostatitis only shows inflammation without evidence of infection.

5. Treatment principles

Patients with mild to moderate prostatic hyperplasia can use tamsulosin hydrochloride sustained-release capsules, finasteride tablets and other drugs to improve symptoms. Severe cases require transurethral resection of the prostate. Prostatitis requires medication according to the type. For bacterial prostatitis, antibiotics such as levofloxacin tablets and cefixime dispersible tablets are selected. For non-bacterial prostatitis, celecoxib capsules are mainly used to relieve symptoms.

Both types of diseases require maintaining regular urination habits and avoiding prolonged sitting and alcohol stimulation. Limit your daily drinking water to 1500-2000 ml, and consume zinc-rich foods such as pumpkin seeds and tomatoes. If you have hematuria, urinary retention or persistent fever, you should seek medical treatment immediately. It is not recommended to buy medication on your own to avoid delaying the condition.