What are the differences between benign prostatic hyperplasia and chronic prostatitis?

Patient's question:

I have benign prostatic hyperplasia, why was I diagnosed with chronic prostatitis?

Doctor's answer:

Hello, prostatitis and benign prostatic hyperplasia have similar clinical symptoms, both presenting with symptoms such as urgency, frequency, hesitation, and incomplete urination. The differences are as follows:
1. Prostatitis may include symptoms such as urethral burning, lower abdominal and perineal soreness and pain, frequent urination, urgency, lower back and leg weakness, fatigue, insomnia, forgetfulness, premature ejaculation, impotence, and early ejaculation. Over half of chronic prostatitis patients may experience post-micturition leakage of white, viscous fluid from the urethra, with frequent soiling of underwear, etc. In fertile men, it can lead to infertility. This condition can occur at any age;
2. Benign prostatic hyperplasia is characterized by nocturia (frequent nighttime urination), frequent urination, weak urine flow, thinning of the urinary stream, and dribbling, and is more common in middle-aged and elderly individuals. However, for the treatment of distinguishing between the two, specific examinations are still required to confirm the diagnosis, as both conditions share similar symptoms or may even be asymptomatic.

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