What complications can acute prostatitis lead to?

Patient's question:

I recently don't know why my lower abdomen is very uncomfortable, and I also don't have morning erections anymore. Please ask what complications can acute prostatitis cause.

Doctor's answer:

1. Acute urinary retention: Acute prostatitis causes local congestion and swelling, compressing the urethra, leading to difficulty in urination or acute urinary retention.
  2. Acute seminal vesiculitis or epididymitis and orchitis: Acute inflammation of the prostate can easily spread to the seminal vesicles, causing acute seminal vesiculitis. At the same time, prostatitis bacteria can retrograde through lymphatic vessels into the wall and outer sheath of the vas deferens, leading to epididymitis.
  3. Swollen or tender inguinal lymph nodes: The prostate and inguinal lymph nodes have communication branches in the pelvis. During acute prostatitis, the inguinal region may be affected, causing swollen and tender inguinal lymph nodes.
  4. Sexual dysfunction: During the acute phase of inflammation, the prostate may become congested, edematous, or form small abscesses, leading to symptoms such as painful ejaculation, painful erection, decreased libido, dyspareunia, impotence, or hematospermia.
  5. Other: Severe acute prostatitis may be accompanied by referred groin pain, and in severe cases, renal colic may occur.

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