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Doctor's answer:
Since the seminal vesicle and prostate are anatomically adjacent, the excretory duct of the seminal vesicle and the terminal part of the vas deferens merge to form the ejaculatory duct, which passes through the prostate into the urethra. Therefore, prostatitis often co-occurs with seminal vesiculitis. According to the course of the disease, it can be divided into acute prostatitis and chronic prostatitis. Among them, acute prostatitis is an acute inflammatory condition of the prostate caused by bacterial infection.Acute prostatitis may present with systemic symptoms such as chills, fever, and fatigue. Local symptoms include a heavy pressure sensation in the perineal or suprapubic region, which worsens with prolonged sitting or defecation and radiates to the waist, lower abdomen, back, and thighs. If a small abscess forms, pain may intensify, making defecation difficult. Urethral symptoms include a burning sensation during urination, urgency, and frequency, which may be accompanied by terminal hematuria or purulent urethral discharge. Rectal symptoms include rectal fullness, urgent defecation, and the sensation of needing to defecate, with white secretions potentially leaking from the urethral meatus during bowel movements.
Chronic prostatitis is divided into bacterial prostatitis and prostatodynia. Chronic bacterial prostatitis often develops from acute prostatitis, while prostatodynia is commonly caused by viral infections, urinary tract stones, or chronic congestion of the prostate. Intermittent sexual intercourse, frequent sexual activity, and chronic constipation are all causes of prostate congestion.