Patient's question:

Is there a difference between viral prostatitis and bacterial prostatitis? Previously, I was treated for prostatitis at the First People's Hospital of our province. Two days ago, I had a routine examination of prostatic fluid and found that the white blood cell count was between 2-5, and the oval fat body was +++. The doctor said it was normal. However, my symptoms have only slightly improved and have not disappeared. Later, I heard about something called "viral prostatitis" — this hasn't been checked, so is there such a thing as "viral prostatitis"? How is it detected? How is it treated? Thank you.

Doctor's answer:

Symptoms and Treatment of Prostatitis: Prostatitis is a common disease among adult males. It can be asymptomatic, or it can present with noticeable symptoms that persist or recur, even leading to chronic or repeated urinary and reproductive infections. The common symptoms are primarily as follows:
Urinary discomfort: Frequent urination, urgent urination, painful urination, burning sensation during urination, incomplete urination, and urine splitting.
Whitish discharge: After urination or defecation, one to two drops of white fluid are expelled from the urethral opening. This phenomenon is called "whitish discharge."
Swelling pain in the testicles, anus, and perineum: The pain worsens when squatting, defecating, or sitting for long periods on chairs or benches.
Lower back pain, leg weakness, and fatigue.
Premature ejaculation and erectile dysfunction.
Hematuria: Visible blood in the urine often appears like soapy water, sometimes containing blood threads or clots.
Hematospermia: Bloody semen is expelled during sexual intercourse, masturbation, or nocturnal emissions.
Male infertility.
Neurasthenia: Symptoms such as dizziness, insomnia, frequent dreams, and memory decline.
If you experience 2-3 of the above symptoms, please seek medical attention at a professional hospital as soon as possible for timely diagnosis and treatment to prevent the condition from worsening.
Regarding your symptoms, describing them here may not be clear enough. It is best to undergo a formal medical examination at a hospital to accurately diagnose your condition. Additionally, the doctor will provide a personalized treatment plan for you. If you wish to receive a preliminary diagnosis, you can also consult me.

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