Does prostatitis cause impotence?

Patient's question:

Recently, I noticed that I often have a dull ache in my groin area, and the frequency has increased at night. Additionally, the color of my urine has become reddish. Upon closer observation, my prostate appears slightly swollen and red, and I often cannot get an erection. It's soft and flaccid, and my libido has significantly decreased.

Doctor's answer:

Severe prostatitis can occur. The most common cause is sexual intercourse. Young people must abstain from sexual activity, as sexual intercourse can lead to damage to the corpora cavernosa, causing an increase in blood flow to the penis and resulting in premature ejaculation. It can also cause increased sensitivity at the coronal sulcus of the glans, leading to premature ejaculation. Damage to the urethral sponge can cause difficulties in urination, pain during urination, prostatitis, and penis shrinkage. Testicular contusion can lead to testicular atrophy and discomfort. Enlarged testicles can also cause symptoms such as spermatorrhea, neurasthenia, and kidney deficiency.

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