What are the early symptoms of prostatitis?

Patient's question:

What are the early symptoms of prostatitis? I am 47 years old, male, and my friend has this disease. I am worried about my health and want to understand the early symptoms of this disease. Could you help me speculate on this?

Doctor's answer:

Prostatitis can be divided into acute prostatitis and chronic prostatitis. Acute prostatitis may present with systemic symptoms such as chills, fever, and fatigue. Local symptoms include a heavy pressure sensation in the perineal or suprapubic region, which worsens with prolonged sitting or defecation and radiates to the waist, lower abdomen, back, and thighs. If a small abscess forms, the pain intensifies continuously, making it difficult to defecate. Urinary symptoms include a burning sensation during urination, urinary urgency, and frequent urination, which may be accompanied by terminal hematuria or purulent urethral discharge. Rectal symptoms include rectal fullness, urgent defecation, and the sensation of needing to defecate. During defecation, white secretions may flow from the urethral meatus.

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