Patient's question:
After the National Day last year, I started experiencing symptoms of frequent urination and urgency, and my urine was often yellow.Doctor's answer:
According to the symptoms you described, it is possible that you may have conditions such as prostatitis, but it is necessary to go to the hospital for a physical examination by an expert combined with tests like prostatic fluid and reproductive ultrasound to confirm the diagnosis. Prostatitis is divided into acute and chronic types: Acute prostatitis is an acute inflammation caused by bacterial invasion of the prostate. Patients may experience chills, fever, elevated body temperature, pain in the genital area, and painful ejaculation during sexual activity. Symptoms may also include frequent urination, urgency, dysuria, or hematuria during urination. If acute prostatitis is not treated promptly, it may become chronic or develop into a prostatic abscess. The treatment for acute prostatitis is not complicated and can be controlled with the appropriate use of antibiotics. The key is to persist in the treatment to ensure a complete cure and avoid leaving any lingering issues. Chronic prostatitis is divided into bacterial and non-bacterial types. Chronic bacterial prostatitis has the same cause as acute prostatitis, mostly because it does not heal during the acute phase and becomes chronic. Chronic non-bacterial prostatitis is mainly caused by improper sexual activity. The reasons include: 1. Celibacy or long-term abstinence, leading to a large accumulation of prostatic secretions, which over time can cause excessive edema and congestion of the prostate. 2. Frequently interrupting sexual intercourse and forcibly suppressing ejaculation, causing the secretion to accumulate and become congested. 3. Excessive frequency of sexual activity, excessive masturbation, or prolonged indulgence in sexual excitement, making it difficult for the prostate to subside from congestion. 4. Excessive alcohol consumption and eating spicy or irritating foods can cause congestion in the pelvic and prostate. 5. Exposure to dampness, cold, prolonged sitting, or colds can all cause prostate congestion. The symptoms of chronic prostatitis include: 1. Persistent chronic inflammation, such as tenderness and a sense of fullness or pressure in the perineum, anus, scrotum, and other areas. 2. Frequent urination, urgency, dysuria, difficulty urinating, or weak urine flow (thin stream, short range, long duration) in severe cases. 3. Milky cloudy fluid leaking from the urethral opening at the end of urination or in the morning. 4. Sexual dysfunction, such as impotence, premature ejaculation, nocturnal emissions, painful ejaculation, or anejaculation. 5. Frequent occurrence of symptoms such as blurred vision, dizziness, and insomnia, indicating neurotic weakness. Non-bacterial prostatitis does not require antibiotic treatment and can be treated with massage, hot Sitz baths, physical therapy, traditional Chinese medicine, etc. However, the course of treatment is long, and the effect is not ideal. Therefore, please seek early examination and diagnosis at a urological specialty hospital for targeted treatment.