What are the hazards of acute prostatitis?

Patient's question:

What are the hazards of acute prostatitis? Will it affect the quality of sperm or cause infertility? How can it be cured? Will it recur repeatedly?

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 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 prostate abscess. The treatment for acute prostatitis is not complicated; appropriately using antibiotics 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 fully cured during the acute phase and becomes chronic. Chronic non-bacterial prostatitis is mainly 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 cause excessive edema and congestion in the prostate.
2. Frequently interrupting sexual intercourse and forcibly suppressing ejaculation, which results in the accumulation of secretions and congestion.
3. Excessive sexual activity, frequent masturbation, or prolonged indulgence in sexual excitement, making it difficult for the prostate to return to normal.
4. Excessive alcohol consumption and eating 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, or scrotum.
2. Frequent urination, urgency, dysuria, difficulty urinating, or weak urine flow (thin stream, short range, prolonged duration).
3. Milky, cloudy fluid may leak from the urethral opening when urinating or in the morning.
4. Reduced 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 baths, physical therapy, or traditional Chinese medicine. However, the treatment duration is long, and the results are often unsatisfactory. Therefore, it is advisable to seek early medical examination and diagnosis at a urological specialty hospital for targeted treatment.

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