Patient's question:
I've been feeling uncomfortable down there recently. At first, I didn't pay much attention, but then today while I was browsing the internet, I suddenly thought, "Could I have a prostate-related disease?" I'm very worried about this, but I don't really understand it.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 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 primarily caused by improper sexual practices. The reasons include:
1. Celibacy or prolonged abstinence, leading to the accumulation of a large amount of prostatic fluid over time, resulting 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 congestion.
4. Excessive alcohol consumption and eating spicy or irritating 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) in severe cases.
3. Leaking cloudy, milky fluid from the urethral opening during the end of urination or upon waking.
4. Sexual dysfunction, 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 may not be ideal. Therefore, it is recommended to seek early diagnosis and targeted treatment at a specialized urological hospital after examination.