How should prostatitis be diagnosed and treated?

Patient's question:

I have prostatitis for 3 years now, and now urination is very difficult. There is a long waiting time before urination, and when someone is present, I cannot urinate at all and also experience white discharge with urine. Most men suffer from prostatitis, and an ultrasound has been done, but everything is normal. However, why do I still feel the urge to urinate frequently? How should it be diagnosed and treated?

Doctor's answer:

Prostatitis can be divided into two types: acute and chronic. Acute prostatitis is primarily characterized by a sense of fullness and discomfort in the perineum, with relatively more pronounced dull pain in the lower abdomen. It can radiate to the lumbar-sacral region, penis, and inner thighs. Symptoms such as frequent urination, urgency, dysuria, or hematuria may also reappear. The onset is relatively sudden. Chronic prostatitis is mainly characterized by symptoms such as frequent urination, a feeling of incomplete urination, urethral burning, and pain. The pain is often a sense of fullness and twitching, radiating to the glans penis and perineum, accompanied by discomfort in the suprapubic region and lumbar-sacral region. Treatment involves selecting medications with high sensitivity to bacteria.

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