Patient's question:
The symptoms of the illness include: blood in the urine after urination, abdominal distension and pain, lower back pain, urine splitting, and a prolonged lack of sexual desire.Doctor's answer:
Prostatitis is the most common urological outpatient disease among young and middle-aged men, with approximately 60% of men experiencing chronic prostatitis to some degree in their lifetime. The clinical manifestations are largely similar: frequent urination, urinary urgency, pain during urination, a feeling of incomplete urination, damp scrotum, perineal pain and discomfort, pelvic pain, suprapubic pain, and pain or discomfort in the glans penis and testicles. Some may also experience reduced sexual function, premature ejaculation. Long-term patients may suffer from tension, anxiety, depression, lack of confidence in work, decreased energy, fatigue, and insomnia.Treatment for Prostatitis: The exact cause of this disease is currently unclear, involving factors such as inflammation of the prostate itself, pelvic floor nerve hypersensitivity, patient depression and anxiety, and excessive focus on their condition. Treatment should be tailored to the individual, emphasizing personalized care. For example, if the primary symptoms are urinary issues without other discomforts, a prostate fluid test may reveal inflammation. In such cases, α-blockers and antibiotics are prescribed for 4-6 weeks. If the prostate fluid is normal, only α-blockers are used. If there are psychological abnormalities, tricyclic antidepressants may be administered along with appropriate social interaction, with attention focused on work and study, and masturbation should be avoided. If there is tenderness in the pelvic area, non-opioid analgesics can be added, and if necessary, muscle relaxants like Mioneb can be used.