What are the main causes of frequent urination and urgency?

Patient's question:

Male, 43. I've been feeling uncomfortable at the urethral opening when urinating recently. When it's cold, there's an increase in urination frequency, and the urine lacks strength. I'm very scared, fearing a serious illness. Could you please tell me what are the main causes of frequent urination and urgency?

Doctor's answer:

1. Acute prostatitis: The patient exhibits symptoms such as frequent urination, urgency to urinate, and recurring dribbling urine, terminal hematuria, and a sense of fullness or pain in the perineum. The pain may also radiate to the perineum, lumbosacral region, or thighs. Additionally, the patient may experience high fever, chills, and loss of appetite.
2. Chronic prostatitis: The patient may exhibit symptoms such as frequent urination, urgency to urinate, and an increasing number of nocturia episodes.
3. Genital infection-induced: This refers to inflammation of the male genitalia and adjacent areas caused by external pathogens. These genital infections include urethritis, chlamydia, mycoplasma infection, and many sexually transmitted diseases.

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