Patient's question:
Frequency of urination for 3 years, the reason is unknown.Doctor's answer:
The symptoms of prostatitis vary widely in nature and severity, with some individuals experiencing no symptoms at all, while others may feel generally uncomfortable. Common symptoms can generally be categorized into the following aspects.1. Urinary Discomfort: This may include bladder irritation symptoms such as frequent urination, a burning sensation during urination that radiates to the head of the penis, and a sticky discharge from the urethral opening in the morning. Difficulty urinating may also be experienced.
2. Local Symptoms: A sense of heaviness and discomfort in the posterior urethra, perineum, and anal area. This pain may worsen when squatting, having a bowel movement, or sitting for long periods on chairs or benches.
3. Radiating Pain: The pain associated with chronic prostatitis is not limited to the urethra or perineum but can also radiate to nearby areas. Lower back pain is the most common symptom. Additionally, the penis, spermatic cord, scrotum, lower abdomen, groin (inner thigh), thighs, and rectum may also be affected. It should be noted that the lower back pain caused by chronic prostatitis is located in the lower lumbar region, which can be easily confused with lower back pain caused by musculoskeletal issues such as myofascial pain or lumbar muscle strain. However, the latter is often more localized near the beltline and tends to be higher in position compared to prostatitis-induced lower back pain, making it distinguishable.
4. Sexual Dysfunction: Chronic prostatitis can lead to reduced libido, painful ejaculation, premature ejaculation, and affect semen quality. Post-urination or bowel movement, a white discharge from the urethral opening may occur. If combined with seminal vesiculitis, hematospermia (blood in semen) may also be present.
5. Other Symptoms: Chronic prostatitis can be accompanied by neurosis, manifesting as fatigue, dizziness, and insomnia. Prolonged and persistent prostatitis may even trigger systemic allergic reactions, leading to conditions such as conjunctivitis or arthritis.
Based on your symptoms, which only include "frequent urination," and the available test results (prostatic fluid report), it is not possible to diagnose your specific type of prostatitis here. It is recommended that you undergo a comprehensive examination and analysis for a targeted treatment plan.