Patient's question:
I doubt that the possibility is a prostate disease. I've been experiencing pain in my lower abdomen recently, and it hurts when I urinate. Moreover, I've noticed that I feel particularly hot when I urinate, with a burning sensation. There are some secretions in my underwear, and they smell bad.Doctor's answer:
The symptoms of chronic prostatitis are diverse, and the severity of symptoms does not always correlate with the degree of inflammation. Some patients may have a high number of pus cells in their prostatic fluid but show no symptoms, while others may have normal or near-normal findings in their prostatic fluid tests but exhibit severe clinical symptoms. Common symptoms can be summarized into five categories:(1) Urinary discomfort, including frequent urination and a burning sensation in the urethra, with pain radiating to the head of the penis. In the morning, the urethral orifice may discharge mucus, stringy secretions, or pus, leading to cloudy urine or a white discharge after defecation. In severe cases, there may be terminal hematuria during urination, difficulty urinating, or urinary retention.
(2) Local symptoms, such as discomfort, pressure, or a sense of fullness in the posterior urethra, perineum, and anal area, which worsen when squatting or defecating.
(3) Reflected pain. The prostate and seminal vesicles are richly innervated by sympathetic nerves.