Patient's question:
I am a student. Recently, I don't know why, I noticed that my glans has become somewhat red and swollen, and there is a bit of pain when urinating. My classmates said it might be possible that I have an inflammation.Doctor's answer:
Chronic prostatitis exhibits diverse symptoms, 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 experience severe clinical symptoms. Common symptoms can be categorized into five main types:(1) Urinary discomfort, including frequent urination and a burning sensation in the urethra, with pain potentially 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 (blood in the final urine) and difficulty urinating or urinary retention.
(2) Local symptoms, such as discomfort, pressure, or a sense of fullness in the posterior urethra, perineum, and rectal area, which worsen when squatting or defecating.
(3) Reflected pain. The prostate and seminal vesicles are richly innervated by sympathetic nerves.