Patient's question:
What are the symptoms of chronic prostatitis?Doctor's answer:
Chronic prostatitis is more commonly non-bacterial in nature. Common causes include factors related to sexual activity such as excessive frequency of intercourse, excessive inhibition of ejaculation, or interrupted sexual activity, as well as prolonged riding on a bicycle or prolonged pressure on the perineum, leading to congestion of the pelvic and prostate. Additionally, it can be caused by non-bacterial infections such as trichomoniasis, chlamydia, and fungi.Clinical manifestations include frequent urination, discomfort during urination, and dysuria. White secretions may be discharged during urination or defecation, commonly referred to as "white discharge" (hematospermia may occur if seminal vesiculitis is present). There may also be aching or discomfort in the lumbar-sacral region, perineum, or suprapubic area, along with sexual dysfunction such as impotence, premature ejaculation, and painful ejaculation. Additionally, mental and neurological symptoms such as insomnia, dizziness, and fatigue may occur.
During a digital rectal examination, the prostate may be enlarged with mild tenderness. If the condition persists for an extended period, it may lead to scar formation. Treatment involves avoiding irritating foods, moderating sexual activity, taking warm baths, undergoing physical therapy, or massaging the prostate to promote inflammation absorption and drainage. Medications are primarily antiseptics that can easily penetrate the prostate barrier, such as erythromycin, cotrimoxazole, doxycycline, and rifampicin. If the cause is non-infectious, it is also important to identify and eliminate contributing factors.