Patient's question:
I frequently had excessive sexual activity 4 or 5 years ago. Later, I experienced a sense of guilt and had another instance of unprotected sex. Shortly after, I began experiencing copious purulent secretions every morning during bowel movements. I went to the county hospital for a thorough examination, and the doctor diagnosed me with non-gonococcal urethritis caused by chlamydia. I received several weeks of enoxacin injections and privately purchased many other medications like azithromycin, but the symptoms persisted. I went to other hospitals for treatment, where a doctor prescribed roxithromycin. Later, another examination revealed the following results: "Lipid bodies: (+); UBC: (+); RBC: 1-2 per high-power field; CT: U." The doctor said the chlamydia was gone and that I now had chronic prostatitis. He prescribed many medications, but the symptoms still persist—copious purulent discharge every morning during bowel movements.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 more pronounced dull pain in the lower abdomen. The pain 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 frequent urination, a feeling of incomplete emptying of the bladder, urethral burning, and pain. The pain is often a dull ache or cramping, radiating to the glans penis and perineum, accompanied by discomfort in the suprapubic region and lumbar-sacral area. Treatment involves selecting medications with high sensitivity to bacteria. For patients, if the condition of prostatitis is severe, immediate symptomatic treatment and appropriate medication are necessary. Otherwise, it may lead to a recurrence of prostatitis. Additionally, patients should pay attention to their diet and psychological care.