Make Your Man More Virile: 100 Essential Questions About Men's Sexual and Reproductive Health

Author: Wang He
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Publishing Time: Not available
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39. How to Determine if Your Prostate is Healthy
In the early stages of prostatitis or the initial phase of subclinical prostatitis, the human body often does not exhibit obvious discomfort or symptoms. Therefore, the detection and diagnosis of early-stage prostate diseases primarily rely on hospital examinations of the prostate. Generally, if adult males experience one or more of the following abnormal phenomena that cannot be explained by other causes, they should undergo cytological or/and etiological examinations of the prostate.
Yellow Urine: Normal urine is a clear liquid with a slightly yellow or pale yellow hue. However, temporary or occasional yellowish or cloudy urine may also occur due to insufficient fluid intake, excessive sweating, prolonged urinary retention, certain foods, or medications.
Urethral Itching or Pain: Urethral itching can occur in the anterior, posterior, or entire urethra. It is often relieved after taking medications like ciprofloxacin but may recur shortly after discontinuation.
Split Urine Stream: Under normal physiological conditions, male urine flows as a single, complete stream through the urethral opening. If the urine splits into two streams during excretion, it is considered a split urine stream. The primary cause is an incomplete opening of the urethral meatus, often due to urethral malformation or the formation of dry secretions like prostatic fluid or semen at the meatus. Under normal physiological conditions, a split urine stream may also occur due to sexual arousal or ejaculation, but this is usually occasional and does not happen frequently. Prostatitis-induced split urine streams, however, are characterized by high frequency, occurring daily or even with every urination, often leading to fear of wetting the pants or polluting the environment due to the split stream.
Incomplete Urination and Dribbling: Normal males can confidently retract their penis after urination, but prostatitis often causes a sensation of incomplete urination without further discharge, or a feeling of having finished urinating but still experiencing a small amount of urine leakage after retracting the penis. Some individuals with subclinical prostatitis may also feel a tightening sensation at the base of the penis, affecting urination.
Nocturia: Nocturia refers to the interruption of sleep and urination due to the urge to urinate after falling asleep at night. Under normal physiological conditions, unless caused by excessive fluid intake before bed, diuretic foods or medications, insomnia, or cold weather, nocturia does not typically occur. Nocturia caused by physiological factors is occasional, has clear triggers, and often involves a large volume of urine. In prostatitis, nocturia is frequent, has no clear triggers, and involves smaller volumes of urine each time.
Leakage of Clear or White Mucus: This refers to the discharge of clear or cloudy white or grayish mucus from the urethral meatus after urination or defecation. The clear or white mucus is prostatic fluid, which increases in secretion due to inflammation.
Frequent Ejaculation: Ejaculation is a normal physiological phenomenon in adult males, marking an important milestone in sexual development and maturation. A normal adult male typically experiences 1–2 natural nocturnal emissions per month, though more may occur under sexual stimulation. During prostatitis, multiple or frequent nocturnal emissions may occur without sexual stimulation, severe cases leading to fear of sleep due to the risk of ejaculation.
Premature Ejaculation: This refers to uncontrollable ejaculation under minimal stimulation or before achieving sexual satisfaction or climax. In subclinical prostatitis, premature ejaculation is often irregular, occurring occasionally in the early stages but becoming more frequent as the damage to the prostate worsens.
Changes in Sexual Function: Changes in sexual function are a common early symptom in individuals with subclinical prostate health issues. This can manifest as either hypersexuality or hyposexuality.
Moisture in the Perineal Area: Particularly in the scrotal skin, moisture in the perineal area is a common early symptom of subclinical prostatitis. This moisture often leads to itching or eczema-like lesions in the perineum and scrotum, which can cause skin breaks and neurodermatitis due to scratching.
Perineal Fullness or Discomfort: This is often a sensation of heaviness or discomfort in the area between the scrotum and anus, which is usually relieved after ejaculation, urination, defecation, hot baths, or rest in bed.
Lower Back or Sacral Discomfort or Pain: Lower back or sacral discomfort or is a common early symptom in individuals with subclinical prostatitis but typically lacks obvious trigger points. This discomfort is often unilateral but may also be bilateral.
Vaginitis in the Spouse After Sexual Intercourse: Since pathogens infecting the prostate can enter the spouse's vagina with semen, this often leads to sexual intercourse-related vaginitis in the spouse.
P83-85