Patient's question:
Please ask if after treatment for chlamydia urethritis, the test results are negative, but there is still some lower abdominal pain, could it be an infection of the prostate? Can the result be negative for urethral swab test but positive for prostate test? Do I need to check the prostate?First follow-up question: There are also some symptoms, such as a slight dragging pain in the testicles, an uneven surface of the glans, a damp and sticky scrotum, and a slightly red urethral opening when examined. The urine is yellow, but there is no obvious dysuria or sticky discharge.
Doctor's answer:
Hello, the cause of chlamydial prostatitis is that after chlamydia infects the urethra, patients may develop urethritis symptoms. If urethritis is not treated in time or improperly, it can lead to prostatitis. The clinical symptoms and signs of chlamydial prostatitis are similar to those of chronic gonococcal prostatitis, often presenting as penile pain, perineal fullness, and a decrease in lecithin corpuscles upon routine prostate examination. Since the ducts of the male urethra, prostate, seminal vesicles, and epididymis are interconnected, patients with chlamydial prostatitis often also have urethritis and epididymitis or seminal vesiculitis. Therefore, it is recommended to take traditional Chinese medicine diuretic anti-inflammatory pills, which have the functions of clearing heat, detoxifying, diuretic and promoting urination. Traditional Chinese medicine is highly absorbent and can penetrate membranes to enter the prostate for bactericidal and anti-inflammatory effects. Additionally, post-treatment care to prevent recurrence is equally important. After recovery, it is advisable to reduce the intake of spicy foods and pay attention to keeping warm.