Patient's question:
Prostatitis has been causing frequent urination and difficulty urinating for about a year. I'm almost fed up—urinating every one and a half hours, severely affecting my work and life.Doctor's answer:
1. There may be a functional urinary dysfunction, which could be related to diseases such as chronic non-bacterial prostatitis or overactive bladder.2. Frequent urination is closely related to psychological factors. The more you think about urination, the more you feel the urge to urinate, and not urinating makes you uncomfortable. The more you focus on it, the more frequent urination becomes, and over time, the bladder's storage function and urination reflex become disrupted. I hope you can break this vicious cycle and pay attention to adjusting your mindset.
3. Routine prostatic fluid tests are no longer used as a diagnostic or efficacy assessment standard, but are primarily based on clinical manifestations, symptoms, and improvements in quality of life. The principle of treating prostatitis is mainly to alleviate symptoms and improve quality of life. Focusing too much on prostatic fluid test results is highly incorrect and misleading.
4. Prostatitis does not have a concept of being "serious" or "not serious," as it is merely a condition that affects quality of life and does not cause substantial harm to your health.
5. Over 96% of chronic prostatitis cases are non-bacterial and are related to prostatic congestion and pelvic floor muscle spasms. Antibiotics are generally not recommended for treatment. It is advised to seek treatment at a large public general hospital's traditional Chinese medicine urology department for herbal medicine regulation.
6. Additionally, it is recommended to adjust your mindset, change your lifestyle, avoid prolonged sitting, drink more water, and refrain from alcohol consumption.