Patient's question:
Male, 25 years old, occasionally experiences lower abdominal pain, symptoms of incomplete urination, delayed urination, and urethral burning.Doctor's answer:
Prostatitis is divided into two types: acute and chronic. Acute prostatitis is an acute inflammation caused by bacterial invasion of the prostate. Patients experience chills, fever, elevated body temperature, and pain in the groin area. During sexual activity, there may be pain during ejaculation. Symptoms during urination include frequent urination, urgency, dysuria, or hematuria. If acute prostatitis is not treated promptly, it may progress to chronic prostatitis or develop into a prostate abscess. The treatment for acute prostatitis is not complicated; appropriately using antimicrobial drugs can control the condition. The key is to persist in the treatment to ensure a complete cure and avoid leaving any lingering issues.Chronic prostatitis is further divided into bacterial and non-bacterial types. Chronic bacterial prostatitis has the same cause as acute prostatitis, mostly because it fails to be cured during the acute phase and progresses to a chronic state. Chronic non-bacterial prostatitis is primarily caused by improper sexual practices. The reasons include:
1. Celibacy or prolonged abstinence, leading to the accumulation of a large amount of prostatic secretions. Over time, this can result in excessive edema and congestion of the prostate.
2. Frequently interrupting sexual intercourse and forcibly suppressing ejaculation, causing the accumulation of secretions and congestion.
3. Excessive frequency of sexual activity, excessive masturbation, or prolonged indulgence in sexual excitement, making it difficult for the prostate to return to normal.
4. Excessive alcohol consumption and eating spicy or irritating foods can cause congestion in the pelvic and prostate areas.
5. Exposure to dampness, cold, prolonged sitting, or colds can all lead to prostate congestion.
The symptoms of chronic prostatitis include the following:
1. Persistent chronic inflammation, such as tenderness and a sense of fullness or pressure in the perineum, anus, or scrotum.
2. Frequent urination, urgency, dysuria, difficulty urinating, or weak urine flow (thin stream, short range, prolonged duration).
3. Milky, cloudy fluid leaking from the urethral opening during the end of urination or in the morning.
4. Impaired sexual function, such as erectile dysfunction, premature ejaculation, nocturnal emissions, painful ejaculation, or anejaculation.
5. Frequent occurrence of symptoms like dizziness, blurred vision, and insomnia, indicating neurotic weakness.
Non-bacterial prostatitis does not require antimicrobial treatment and can be managed through massage, hot water (sit baths), physical therapy, or traditional Chinese medicine. However, the treatment duration is long, and the results may not be ideal. Therefore, it is recommended to seek early examination and diagnosis at a urological specialty hospital for targeted treatment.