Patient's question:
I'm feeling sick, but there's no pain when urinating. It's mainly that a lot of substances are excreted, and there's a strange odor in the pants. What's going on?Doctor's answer:
Chronic prostatitis is more commonly non-bacterial in nature. Common causes include factors related to sexual activity such as excessive frequency of intercourse, over-restraint of ejaculation, or interrupted sexual activity, as well as long-distance riding or prolonged pressure on the perineum, leading to congestion in the pelvic and prostate. Additionally, it can be caused by non-bacterial infections such as trichomoniasis, chlamydia, or fungal infections.Clinical manifestations include frequent urination, discomfort during urination, and dysuria. White secretions may be discharged during urination or defecation, also known as "white discharge." There may be aching discomfort in the lumbosacral region, perineum, or suprapubic area. Sexual dysfunction may include impotence, premature ejaculation, or painful ejaculation. Additionally, symptoms such as neurosis, dizziness, and fatigue may occur.
Digital rectal examination may reveal an enlarged prostate with mild tenderness. If left untreated for a long time, it may lead to scar-like changes.