What is the relationship between prostatitis and frequent urination and urgency?

Patient's question:

What is the relationship between prostatitis and frequent urination and urgency? What is the relationship between prostatitis and frequent urination and urgency? Which drugs are effective in treating benign prostatic hyperplasia? Care for prostatitis hypertrophy

Doctor's answer:

Prostatitis is divided into two types: acute and chronic. Acute prostatitis is an acute inflammation caused by bacterial invasion of the prostate. Patients experience chills, fever, elevated body temperature, pain in the groin area, and painful ejaculation during sexual activity. Symptoms may also include frequent urination, urgent urination, painful urination, or hematuria. If acute prostatitis is not treated promptly, it may progress to chronic prostatitis or develop into a prostatic abscess. The treatment for acute prostatitis is not complex 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 further divided into bacterial and non-bacterial types. Chronic bacterial prostatitis has the same cause as acute prostatitis, mostly because it fails to be fully cured during the acute phase and progresses to a chronic state. Chronic non-bacterial prostatitis is primarily caused by improper sexual practices. The reasons include:
1. Celibacy or prolonged abstinence, leading to the accumulation of a large amount of prostatic secretions. Over time, this can result in excessive edema and congestion of the prostate.
2. Frequent interruption of sexual intercourse or forcibly suppressing ejaculation, causing the accumulation of secretions and congestion.
3. Excessive sexual activity, frequent masturbation, or prolonged states of sexual excitement, making it difficult for the prostate to return to normal.
4. Heavy alcohol consumption and the intake of spicy or acidic foods, which can cause congestion in the pelvic and prostate areas.
5. Exposure to dampness, cold, prolonged sitting, or colds can all lead to prostate congestion.
The symptoms of chronic prostatitis include the following:
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, urgent urination, painful urination, difficulty urinating, or weak urine flow (thin stream, short range, prolonged duration).
3. The presence of milky, cloudy fluid discharged from the urethral opening at the end of urination or in the morning.
4. Impaired sexual function, such as impotence, premature ejaculation, nocturnal emissions, painful ejaculation, or anejaculation.
5. Frequent symptoms of neurosis, such as blurred vision, dizziness, and insomnia.
Non-bacterial prostatitis does not require antibiotic treatment and can be managed through massage, hot Sitz baths, physical therapy, and traditional Chinese medicine. However, the treatment duration is long, and the results may not be ideal. If convenient, please visit Shanghai Guojiu Men's Hospital for examination and diagnosis. After confirmation, effective targeted treatment can be provided.