Patient's question:
As a child, excessive masturbation, premature ejaculation, prostatitisDoctor's answer:
I am doing rural work, and I will start outpatient clinics next year.Prostatitis is the most common urological outpatient disease among young and middle-aged men, with approximately 60% of men experiencing some degree of chronic prostatitis at some point in their lives. The clinical manifestations are mostly similar: frequent urination, urgent urination, painful urination, a feeling of incomplete urination, damp scrotum, perineal pain and discomfort, pelvic pain, suprapubic pain, and pain or discomfort in the glans penis and testicles. Some may also experience reduced sexual function, premature ejaculation. Long-term patients may suffer from tension, anxiety, depression, lack of confidence in work, decreased energy, fatigue, and insomnia.
Treatment for prostatitis: The cause of this disease is currently unclear. It may involve inflammation of the prostate itself, as well as factors such as pelvic floor nerve hypersensitivity, patient depression and anxiety, and excessive focus on their condition. General treatment should be tailored to the individual, emphasizing personalized care. For example, if the main symptoms are urinary issues with no other discomfort, laboratory tests of prostatic fluid may reveal inflammation. In such cases, α-blockers and antibiotics are recommended for 4-6 weeks. If the prostatic fluid is normal, only α-blockers may be used. If there are mental abnormalities, tricyclic antidepressants can be prescribed along with appropriate social interaction, with attention focused on work and study, and masturbation should be avoided. If there is tenderness in the pelvic area, non-opioid analgesics can be added, and if necessary, medications like Mirtazapine (Remeron) for muscle relaxation can be used.