Urinating with white discharge, experiencing pain in the private area regularly, and unable to hold urine. Please ask.

Patient's question:

In the past two months, I suddenly realized I couldn't hold my urine, and it would hurt in my lower abdomen when I tried. After a few weeks, I noticed that there was a phenomenon of white discharge after urination each time.
Sometimes, when I spend a long time with my girlfriend (i.e., when I have prolonged sexual arousal but cannot release it), the pain can last for a whole day.
Am I already suffering from prostatitis?
Now, the white discharge phenomenon is not as obvious or frequent as before. Is this a sign of improvement, or is it getting worse?
I heard that prostatitis can lead to impotence. If it really does, is there a cure for it?

Doctor's answer:

Hello: Based on your description, it appears to be prostatitis, which can be diagnosed through a prostatic fluid examination. The main symptoms of prostatitis are: frequent urination, urinary urgency, urinary pain, perineal pain, discomfort in the lower abdomen, perineum, and testicular area. There is often a white discharge in the urethra, accompanied by lower back and knee weakness, impotence, premature ejaculation, and even hematuria or hematospermia. In Traditional Chinese Medicine (TCM), it falls under the categories of "hot-dampness strangulation," "lao-lin," and "jing-tuozhuo." It is divided into conditions such as: "heat-dampness obstruction," "yin deficiency with fire effulgence," "insufficient kidney yang," and "blood and Qi stagnation."
However, TCM emphasizes syndrome differentiation and treatment. You can visit a local traditional Chinese medicine hospital, combine clinical observations with the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation), and take medication based on the specific symptoms to achieve a cure. Wishing you a speedy recovery!
Self-treatment plan:
1. Massage along both sides of the urethra for 15-20 minutes daily, with intensity adjusted to your comfort level.
2. Perform anal contraction exercises while standing, 50-100 times each morning and evening before sleep, until a feeling of acid-heat in the anus is achieved.
3. In summer, use a damp towel to apply cold compresses to the testicles, 2-3 times per night, until the testicles contract fully.
4. Completely relax your mental stress.
5. Engage in morning exercises daily, such as jogging for 10-15 minutes, until slight sweating is achieved.
6. In the morning, press your hands against your lower back to stimulate kidney blood circulation, ideally 100-1500 times.

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