Patient's question:
Over the past year, I've been feeling lower back and waist pain, experiencing frequent and urgent urination, and intense pain during urination. My prostate is swollen and red, my libido has decreased, my hands and feet are cold, and I'm very afraid of the cold. I also have discomfort during deep sleep at night, and the pain in my prostate is severe. I'm worried it might be prostatitis.Doctor's answer:
Experts quote, in fact, prostatodynia is a group of comprehensive symptom evaluations, and prostatodynia is not necessarily prostatitis; it is usually caused by muscle spasms. The clinical manifestations of prostatodynia include persistent urinary frequency, urinary urgency, difficulty urinating, and prostatic discomfort, but its prostatic fluid often lacks pus cells and does not show significant pathological changes that are clearly transmissible. Cultivation cannot find bacteria, and it requires attention from everyone. What needs to be reminded to patients is that patients with prostatodynia often have persistent changes in urodynamic parameters, with a reduced maximum urinary flow rate, and urethral bladder pressure measurements are often unstable and severe pain type. These patients often complain of perineal pain that is relieved after prolonged sitting or driving, and may be accompanied by testicular pain, a heavy pressure or tenderness in the pubic or pelvic area. During digital rectal examination, light pressure on both levator ani muscles and external hip rotators may cause tenderness, while the prostate itself is often painless. Due to