Patient's question:
Hello doctor!I am 35 years old. Recently, I have been experiencing some difficulty urinating, a feeling of incomplete urination, a slightly damp scrotum, some lower back pain, poor libido, weak erections, and short erection duration. My left testicle is slightly smaller than before. Could this be a problem with the prostate? What medication should I use? Thank you for your reply!
Doctor's answer:
Hello!Prostatitis is one of the most common diseases among middle-aged men, with an onset age range of 15-55 years. It can be categorized into: acute prostatitis and chronic prostatitis, the latter of which can be further divided into: bacterial prostatitis, non-bacterial prostatitis, and prostatodynia. Prostatitis has numerous symptoms with significant individual variations. Currently, the symptoms of prostatitis are collectively referred to as prostatitis syndrome, which can be broadly classified into the following four categories:
1. Urethral symptoms: Frequent urination or a constant urge to urinate, a feeling of incomplete urination, mild urinary pain, pain at the urethral meatus, occasional leakage of white, viscous fluid from the urethra.
2. Local symptoms: Lower abdominal heaviness or dull pain; pain or discomfort in the genital area or testicles, perineal dampness, pain in the inguinal region, lower back pain, fatigue.
3. Sexual dysfunction: Premature ejaculation, erectile dysfunction, decreased libido.
4. Mental symptoms: Irritability, excessive worry, frequent dreams, insomnia, palpitations.
Among these four categories of symptoms, not all patients will experience them. Depending on the severity of the condition and the treatment approach, there can be significant clinical differences.
The treatment of prostatitis is a research topic in urology. Monotherapy with a single drug is often not highly effective. Currently, a comprehensive treatment approach is primarily adopted. After a period of systematic treatment, symptoms are relieved in most patients, and some may even be cured. In China, there is a recent breakthrough in the treatment of prostatitis called "field effect ablation," which has shown promising results in treating prostatitis. Before undergoing any treatment, it is best not to self-medicate, as incorrect medication can have the opposite effect on the disease.
If you have any further questions, please feel free to ask. Wishing you a speedy recovery!