Patient's question:
What are the factors that can cause urethritis? What are the main causes?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, pain in the groin area, and painful ejaculation during sexual activity. Symptoms may also include frequent urination, urgency, dysuria, or hematuria during urination. 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 complex and can be controlled with the appropriate use of antibiotics. 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 causes as acute prostatitis, mostly because it fails to be fully 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 fluid, which over time results in excessive edema and congestion of the prostate.
2. Frequent interruption of sexual intercourse and forcibly suppressing ejaculation, causing the accumulation of secretions and congestion.
3. Excessive sexual activity, frequent masturbation, or prolonged indulgence in sexual excitement, making it difficult for the prostate to return to normal.
4. Excessive alcohol consumption and the intake of spicy or acidic foods, which 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:
1. Persistent chronic inflammation, such as tenderness and a sense of fullness or pressure in the perineum, anus, scrotum, and other areas.
2. Frequent urination, urgency, dysuria, difficulty urinating, or weak urine flow (thin stream, short range, prolonged duration) in severe cases.
3. The presence of milky, cloudy fluid leaking from the urethral opening during the end of urination or upon waking.
4. Sexual dysfunction, such as impotence, premature ejaculation, nocturnal emissions, painful ejaculation, or anejaculation.
5. Frequent occurrence of symptoms like dizziness, blurred vision, and insomnia, which are signs of neurosis.
Non-bacterial prostatitis does not require antibiotic treatment and can be managed with massage, hot 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.