Patient's question:
Male, 25 years old, occasionally experiences lower abdominal pain, urinary retention, delayed urination, and urethral burning symptoms.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, and pain in the groin area. During sexual activity, there may be pain during ejaculation. Symptoms such as frequent urination, urgent urination, painful urination, or hematuria may also occur during urination. 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 complicated; appropriately using antimicrobial drugs can control the condition. 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 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 a significant accumulation of prostatic secretions. Over time, this can result in excessive edema and congestion of the prostate.
2. Frequently interrupting sexual intercourse and 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. Excessive alcohol consumption and eating spicy or irritating foods 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, or scrotum.
2. Frequent urination, urgent urination, painful urination, difficulty urinating, or weak urine flow (thin stream, short range, prolonged duration).
3. A milky, cloudy discharge from the urethral opening during the end of urination or in the morning.
4. Impaired sexual function, such as erectile dysfunction, 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 antimicrobial treatment and can be managed through massage, hot Sitz baths, physical therapy, or traditional Chinese medicine. However, the treatment duration is long, and the effectiveness may not be ideal. Therefore, it is recommended to seek early examination and diagnosis at a urological specialty hospital for targeted treatment.