Patient's question:
Detailed medical condition and purpose of consultation: I have been experiencing frequent urination, urgency, and a burning sensation in the perineum. Additionally, I have completely lost sexual function, and I don't know the cause? (Before these symptoms reappeared, my sexual function was normal)Duration and persistence of the current illness: Since January 2005 to the present
Current general condition: Frequent nocturia, burning sensation in the perineum. Complete loss of sexual function
Medical history: Tuberculous meningitis (two years ago, now fully recovered)
Previous diagnosis, treatment, and outcomes: The hospital diagnosed it as a urinary tract infection (transmitted by Enterococcus faecalis). Additional tests: Urine culture, drug sensitivity test
Doctor's answer:
Hello, prostatitis can also reappear with the symptoms mentioned above, so it is recommended to check the prostate at the same time. The clinical manifestations of acute prostatitis vary depending on different pathological types and different routes of infection. Catarrhal and follicular prostatitis may be asymptomatic, while solid prostatitis has typical systemic and local symptoms. Hematogenous infections develop more suddenly, presenting with acute systemic infectious signs or sepsis. Prostatitis caused by urinary tract infections often has significant urinary symptoms. Symptoms can generally be divided into five categories.1. Systemic symptoms: Fatigue, weakness, anorexia, nausea, vomiting, high fever, chills, exhaustion, or sepsis. When symptoms develop suddenly, systemic symptoms may mask local symptoms.
2. Local symptoms: Pressure in the perineum or pubis, which is relieved by prolonged sitting or defecation, and radiates to the waist, lower abdomen, and back.