What is the reason for the non-uniform echo of the prostate?

Patient's question:

A 17-year-old male has had sexual activity. In August last year, a thorough examination of the prostate revealed uneven echoes. He had experienced a few weeks of incomplete urination (now hasn't had any thorough examination). Now, he frequently feels a bloated sensation in his lower abdomen, which has become larger than before, and there's some tenderness in the upper left corner of his lower abdomen.
What's going on? Is this a urological problem? I'm only 17?? Should I go to the hospital for a thorough examination? How serious is the issue?

Doctor's answer:

The above situation may be related to prostatitis, and it may be related to sexual activity to some extent. It is recommended to pay attention to avoiding sexual activity and seek medical examination in the hospital. In terms of medication, oral Pulegan tablets can be given for treatment. For patients with prostatitis, in addition to immediate treatment, they also need to pay attention to maintaining a proper diet and ensuring adequate nutrition.

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